Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Great Lakes Physician, PC

Organization Clinical Pathology/Laboratory Medicine Physician · NPI 1659310092

Great Lakes Physician, PC is a Clinical Pathology/Laboratory Medicine Physician in Cheektowaga, New York. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3085 Harlem Rd Ste 350
Cheektowaga, NY 14225-2591
Phone: (716) 844-5000
Fax: (716) 844-5050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X
Clinical Pathology/Laboratory Medicine Physician Taxonomy 207ZP0105X
Radiation Oncology Physician Taxonomy 2085R0001X

Record details

NPI number1659310092
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kairav Chevli — Managing Physician · (716) 844-5000
Other names Western New York Urology Associates Llc; Western New York Urology Associates Llc
NPI enumeratedJune 4, 2006
Last updated in NPPESJune 7, 2022
Certification dateJune 7, 2022
Mailing address3085 Harlem Rd, Suite 350, Cheektowaga, NY 14225-2591

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