Healthcare Provider Details

I. General information

NPI: 1316079817
Provider Name (Legal Business Name): BENJAMIN WU, M.D. P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2007
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 60TH ST FL 1
BROOKLYN NY
11220-4220
US

IV. Provider business mailing address

730 60TH ST FL 1
BROOKLYN NY
11220-4220
US

V. Phone/Fax

Practice location:
  • Phone: 718-484-3255
  • Fax:
Mailing address:
  • Phone: 718-484-3255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. BENJAMIN WU
Title or Position: CHAIRMAN
Credential: M.D.
Phone: 718-484-3225