NPI 1174520696

Kevin J Barlog, MD

Practitioner Urology Physician Cheektowaga, NY

Practice location

Address: 3085 Harlem Rd STE 200, Cheektowaga, NY 14225-2563
Phone: (716) 844-5000
Fax: (716) 844-5050
Mailing address: 3085 Harlem Rd Suite 350, Cheektowaga, NY 14225-2591

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 168798 (NY)

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Registry record

NPI: 1174520696
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jun 2005
Record last updated: 13 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.