Peconic Surgical Group, Pc

LBN: Peconic Surgical Group, Pc
Peconic Surgical Group, Pc is an health care organization with primary practice located at 31 Main Rd Suite 2, Riverhead NY 11901-1953. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Peconic Surgical Group, Pc can be contacted via phone (631) 369-8539, or through Gredysa, Leslaw Josef via phone (631) 369-8539.

Contact Information

Primary practice address
31 Main Rd Suite 2 Riverhead NY 11901-1953
Phone: (631) 369-8539
Fax: (631) 369-5613
Website:
Map and Directions
Authorized official contact:
Name: Gredysa, Leslaw Josef Doctor of Medicine (MD)
Phone: (631) 369-8539

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 175169 New York

Profile Details

NPI number 1811187214
LBN Legal business name Peconic Surgical Group, Pc
DBA Doing business as
Authorized official Gredysa, Leslaw Josef Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2007
Last updated Nov 14th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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