Healthcare Provider Details

I. General information

NPI: 1053587519
Provider Name (Legal Business Name): CHRISTOPHER E. BENEY, MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2008
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1149 LINCOLN AVE
LOCKPORT NY
14094-6152
US

IV. Provider business mailing address

1149 LINCOLN AVE
LOCKPORT NY
14094-6152
US

V. Phone/Fax

Practice location:
  • Phone: 716-433-2674
  • Fax: 716-433-2677
Mailing address:
  • Phone: 716-433-2674
  • Fax: 716-433-2677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number0087641
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number335055
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberF3818411
License Number StateNY
# 5
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier07567751
Identifier TypeMEDICAID
Identifier StateNY
Identifier Issuer

VIII. Authorized Official

Name: MRS. LISA SIEGMAN
Title or Position: FINANCE MANAGER
Credential:
Phone: 716-341-2411