National Provider Identifier

Fred A Luongo II, DDS

Fred A Luongo II, DDS is listed in the NPPES registry with a primary specialty of Dentist in Buffalo, NY and a listed phone number of (716) 885-8886.

NPI 1700090875Buffalo, NYDentist

Profile Overview

NPI
1700090875
Provider Type
Individual
Primary Specialty
Dentist
Enumeration Date
May 09, 2007
Last Updated
July 08, 2007

Practice Location

  • 250 Linwood Avenue
  • Buffalo, NY 14209-1815

Phone: (716) 885-8886

Mailing Address

  • 129 Windsor Avenue
  • Buffalo, NY 14209

Specialties

  • Dentist (122300000X)
Full Record
NPI
1700090875
Entity Type
Individual
Last Name
Luongo
First Name
Fred
Middle Name
A
Name Suffix
II
Credential
DDS
Mailing Street Address
129 Windsor Avenue
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14209
Mailing Country
US
Mailing Phone
(716) 886-0611
Practice Street Address
250 Linwood Avenue
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14209-1815
Practice Country
US
Practice Phone
(716) 885-8886
Practice Fax
(716) 885-8891
Enumeration Date
May 09, 2007
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dentist (122300000X)