GREAT LAKES PHYSICIAN, PC

CHEEKTOWAGA, NY
NPI1659310092
Former Legal Business NameWESTERN NEW YORK UROLOGY ASSOCIATES LLC
Entity TypeOrganization
Authorized ContactKAIRAV KENT CHEVLI
Managing Physician
716-844-5000
Organization Subpart ?No
Primary Taxonomy208800000X Urology
Additional Taxonomies207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine
2085R0001X Radiology, Radiation Oncology
Enumeration Date2006-06-04
Last Update Date2022-06-07
Business Address
GREAT LAKES PHYSICIAN, PC
3085 HARLEM RD SUITE 350
CHEEKTOWAGA, NY 14225-2591
Phone number: 716-844-5000
Mailing Address
GREAT LAKES PHYSICIAN, PC
3085 HARLEM RD SUITE 350
CHEEKTOWAGA, NY 14225-2591
Phone number: 716-844-5000