Graduated: 2011
NPI: 1467730101
Practice Locations (2)
GREAT LAKES PHYSICIAN PC
3085 HARLEM RD
CHEEKTOWAGA, NY 142252591
7168445000
GREAT LAKES PHYSICIAN PC
3085 HARLEM RD, SUITE 350
CHEEKTOWAGA, NY 142252563
Source: CMS National Downloadable File, September 2026.