National Provider Identifier
Richard W Gong, MD
Richard W Gong, MD is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Buffalo, NY and a listed phone number of (716) 845-2300.
Profile Overview
- NPI
- 1366459760
- Provider Type
- Individual
- Primary Specialty
- Diagnostic Radiology Physician
- Enumeration Date
- August 01, 2006
- Last Updated
- January 12, 2021
Practice Location
- Elm And Carlton Streets
- Buffalo, NY 14263-3808
Phone: (716) 845-2300
Mailing Address
- 601 Elmwood Ave Box 648
- Rochester, NY 14642-8648
Specialties
- Diagnostic Radiology Physician (2085R0202X)
Full Record
- NPI
- 1366459760
- Entity Type
- Individual
- Last Name
- Gong
- First Name
- Richard
- Middle Name
- W
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 601 Elmwood Ave Box 648
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-8648
- Mailing Country
- US
- Mailing Phone
- (585) 487-3308
- Practice Street Address
- Elm And Carlton Streets
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14263-3808
- Practice Country
- US
- Practice Phone
- (716) 845-2300
- Enumeration Date
- August 01, 2006
- Last Updated
- January 12, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- January 12, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Diagnostic Radiology Physician (2085R0202X)
- Other Identifiers
- 04924338 (NY)