GREAT LAKES PHYSICIAN, PC

CHEEKTOWAGA, NY
NPI1720045792
Former Legal Business NameWESTERN NEW YORK UROLOGY ASSOCIATES LLC
Entity TypeOrganization
Authorized ContactK KENT CHEVLI
Managing Physician
716-844-5600
Organization Subpart ?No
Primary Taxonomy208800000X Urology
Additional Taxonomies2085R0001X Radiology, Radiation Oncology
207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine
Enumeration Date2006-04-26
Last Update Date2017-04-25
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