Great Lakes Allergy LLC

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

Legal business name

GREAT LAKES ALLERGY LLC

Practice address

500 Corporate Pkwy Ste 100
Amherst, NY 14226-1263

Phone

(716) 631-0380

Fax

(716) 836-0773

NPI assigned

Jan 9, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Emily Morton

Title

Office Manager

Phone

(716) 393-8394

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1437920576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CORPORATE PKWY STE 100",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261263",
            "telephone_number": "716-631-0380",
            "fax_number": "716-836-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CORPORATE PKWY STE 100",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261263",
            "telephone_number": "716-631-0380",
            "fax_number": "716-836-0773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3670 S Benzing Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Orchard Park",
            "state": "NY",
            "postal_code": "141271741",
            "country_code": "US",
            "telephone_number": "716-631-0380",
            "fax_number": "716-836-0773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREAT LAKES ALLERGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "MORTON",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "716-393-8394"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Marie Gray, RN
• Anthony Stephen Graziano, PA-C
• Courtney Graziano, LCSW
• Lisa M Graziano, PMHNP-BC
• Carmella A Greasley, PNP
• Greater Buffalo ENT
• Marti Greco, OT
• Timothy Bryan Greco
• Nicole Green, LMT
• Doralee Sarah Janette Greenberg, D.D.S.

• Allergy Physician in Amherst, NY
• Providers in Amherst, NY by specialty
• Allergy Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.