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, K Kent via phone (716) 844-5600.

Contact Information

Primary practice address
3085 Harlem Rd Suite 350 Cheektowaga NY 14225-2591
Fax: (716) 844-5050
Website:
Authorized official contact:
Name: Chevli, K Kent Doctor of Medicine (MD)

Profile Details

NPI number 1720045792
LBN Legal business name Great Lakes Physician, Pc
DBA Doing business as Western New York Urology Associates Llc
Authorized official Chevli, K Kent Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2006
Last updated Apr 25th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720045792 NPPES
New York MEDICAID 03869087

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