Individual
BENJAMIN B LUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
117 FOOTE AVE, JAMESTOWN, NY 14701-6947
(716) 338-9200
(716) 338-9250
Mailing address
3085 HARLEM RD STE 350, CHEEKTOWAGA, NY 14225-2591
(716) 844-5600
(716) 844-5750
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
284342
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04769348
—
NY
Enumeration date
04/19/2011
Last updated
12/04/2018
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