Healthcare Provider Details
I. General information
NPI: 1528281821
Provider Name (Legal Business Name): WESTERN NEW YORK UROLOGY ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/11/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2732 TRANSIT RD
WEST SENECA NY
14224-2523
US
IV. Provider business mailing address
2732 TRANSIT RD
WEST SENECA NY
14224-2523
US
V. Phone/Fax
- Phone: 716-608-8700
- Fax: 716-608-8725
- Phone: 716-608-8700
- Fax: 716-608-8725
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207ZP0105X |
| Taxonomy | Clinical Pathology/Laboratory Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0001X |
| Taxonomy | Radiation Oncology Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208800000X |
| Taxonomy | Urology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JOSEPH
M
GRECO
Title or Position: MEMBER
Credential: MD
Phone: 716-631-9600