OrganizationActive
Peconic Surgical Group, PC
NPI 1811187214 · Specialist · Riverhead, NY
Peconic Surgical Group, PC is a Specialist organization in Riverhead, NY (NPI 1811187214).
Provider details
- NPI number
- 1811187214
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Leslaw Gredysa, President(631) 369-8539
- License
- 175169 (NY)
Practice location
31 Main Rd
Suite 2
Riverhead, NY 11901-1953
Phone: (631) 369-8539
Fax: (631) 369-5613
Approximate (ZIP-level) locationGet directions
Mailing address
31 Main Rd
Riverhead, NY 11901-1953
Registry dates
- Enumerated
- 2007-07-31
- Last updated
- 2007-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.