Western New York Urology Associates Llc
LBN: Great Lakes Physician, Pc
Western New York Urology Associates Llc is an health care organization with primary practice located at 3085 Harlem Rd Suite 350, Cheektowaga NY 14225-2591. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is the primary health care specialty.
Great Lakes Physician, Pc can be contacted via phone (716) 844-5000, or through Chevli, Kairav Kent via phone (716) 844-5000.
Contact Information
Primary practice address
3085 Harlem Rd Suite 350
Cheektowaga NY 14225-2591
Phone: (716) 844-5000
Fax: (716) 844-5050
Website:
Authorized official contact:
Name: Chevli, Kairav Kent Doctor of Medicine (MD)
Phone: (716) 844-5000
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | ||
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | ||
| Allopathic & Osteopathic Physicians / Urology | 208800000X |
Profile Details
| NPI number | 1659310092 |
|---|---|
| LBN Legal business name | Great Lakes Physician, Pc |
| DBA Doing business as | Western New York Urology Associates Llc |
| Authorized official | Chevli, Kairav Kent Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 4th, 2006 |
| Last updated | Jun 7th, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659310092 | NPPES |
| New York | MEDICAID | 03869087 |
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