Leslaw J Gredysa in Riverhead - Vascular Surgery
Leslaw J Gredysa - NPI 1184729998
Leslaw J Gredysa is a Vascular Surgery in Riverhead, New York. Leslaw J Gredysa practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Leslaw J Gredysa is 1184729998. The last update date is 2007-11-14.
Leslaw J Gredysa's current location address is 31 Main Rd, Riverhead, New York. You can contact this provider via phone number 6313698539 and fax number 6313695613. The mailing address for Leslaw J Gredysa is 31 Main Rd, Riverhead, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leslaw J Gredysa |
|---|---|
| Address | 31 Main Rd, Riverhead, New York |
| Phone Number | 6313698539 |
| Fax Number | 6313695613 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1184729998 |
|---|---|
| Provider Enumeration Date | 2006-09-14 |
| Last Updated Date | 2007-11-14 |
Provider Mailing Address Detail
| Address | 31 Main Rd |
|---|---|
| City | Riverhead |
| State | New York (NY) |
| Post Code | 11901 |
| Phone Number | 6313698539 |
| Fax Number | 6313695613 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 175169 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 35085 | NY | VYTRA | |
| 1465594 | NY | -- | |
| 738310 | NY | AETNA |
Post Comment/ Review Below
What is the Leslaw J Gredysa's 1184729998?
The Leslaw J Gredysa's NPI (National Provider Identifier) Number is 1184729998. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Leslaw J Gredysa's physical address?
The Leslaw J Gredysa is physically located at 31 Main Rd, in the city of Riverhead, NY, with the postal code 11901.
What is Leslaw J Gredysa's area of expertise and its corresponding taxonomy classification?
The Leslaw J Gredysa's field of specialization is Vascular Surgery, and it falls under the taxonomy code 2086S0129X, which categorizes healthcare providers based on their areas of practice.
When did the Leslaw J Gredysa receive its 1184729998?
The Leslaw J Gredysa was issued its 1184729998 on 2006-09-14, which is the date when the organization was assigned this unique identifier.
When was the Leslaw J Gredysa's information last updated?
The Leslaw J Gredysa's information was last updated on 2007-11-14.