National Provider Identifier

Alberto Carlos Benedicto, M.D.

Alberto Carlos Benedicto, M.D. is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Lewiston, NY and a listed phone number of (716) 298-2356.

NPI 1679506117Lewiston, NYDiagnostic Radiology Physician

Profile Overview

NPI
1679506117
Provider Type
Individual
Primary Specialty
Diagnostic Radiology Physician
Enumeration Date
July 08, 2006
Last Updated
March 11, 2024

Practice Location

  • 5300 Military RD
  • Lewiston, NY 14092-1903

Phone: (716) 298-2356

Mailing Address

  • PO Box 8000 Dept 570
  • Buffalo, NY 14267-0002

Specialties

  • Diagnostic Radiology Physician (2085R0202X)
  • Diagnostic Radiology Physician (2085R0202X)

Endpoints

  • payer.credentialing@sphp.com

    Direct Messaging Address | Direct | Other | Albany, NY 12208

    Sphp - Payer Credentialing

Full Record
NPI
1679506117
Entity Type
Individual
Last Name
Benedicto
First Name
Alberto
Middle Name
Carlos
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
PO Box 8000 Dept 570
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14267-0002
Mailing Country
US
Mailing Phone
(716) 535-0741
Practice Street Address
5300 Military RD
Practice City
Lewiston
Practice State
NY
Practice ZIP Code
14092-1903
Practice Country
US
Practice Phone
(716) 298-2356
Practice Fax
(716) 298-2099
Enumeration Date
July 08, 2006
Last Updated
March 11, 2024
Sex
Male
Sole Proprietor
No
Certification Date
March 11, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Diagnostic Radiology Physician (2085R0202X), Diagnostic Radiology Physician (2085R0202X)
Other Identifiers
232588 (NY, Preferred Care Of Ny), 2115334 (NY, Independent Health (Iha)), 000530794001 (NY, Blue Cross Blue Shield Of Western Ny), 03024155 (NY), P00658337 (NY, Railroad Medicare), 090120000047 (NY, Fidelis Care Of Ny)