Individual
DR. ALBERTO CARLOS BENEDICTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5300 MILITARY RD, LEWISTON, NY 14092-1903
(716) 298-2356
(716) 298-2099
Mailing address
PO BOX 8000 DEPT 570, BUFFALO, NY 14267-0002
(716) 535-0741
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
226297
NY
2085R0202X
Diagnostic Radiology Physician
35.087898
OH
2085R0202X
Diagnostic Radiology Physician
Primary
MD438839
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000530794001
BLUE CROSS BLUE SHIELD OF WESTERN NY
NY
05
—
03024155
—
NY
01
—
090120000047
FIDELIS CARE OF NY
NY
01
—
2115334
INDEPENDENT HEALTH (IHA)
NY
01
—
232588
PREFERRED CARE OF NY
NY
01
—
P00658337
RAILROAD MEDICARE
NY
Enumeration date
07/08/2006
Last updated
03/11/2024
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