Dr Leslaw J Gredysa, MD | |
31 Main Rd, Suite 2, Riverhead, NY 11901 | |
(631) 369-8539 | |
(631) 369-5613 |
Full Name | Dr Leslaw J Gredysa |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 42 Years |
Location | 31 Main Rd, Riverhead, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184729998 | NPI | - | NPPES |
35085 | Other | NY | VYTRA |
01465594 | Medicaid | NY | |
738310 | Other | NY | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 175169 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Suny/stony Brook University Hospital | Stony brook, NY | Hospital |
Peconic Bay Medical Center | Riverhead, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Shore - Lij Medical Pc | 3375701568 | 5120 |
Entity Name | Peconic Surgical Group, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811187214 PECOS PAC ID: 9133167109 Enrollment ID: O20050420000640 |
Entity Name | North Shore - Lij Medical Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
---|---|
Dr Leslaw J Gredysa, MD 31 Main Rd, Suite 2, Riverhead, NY 11901 Ph: (631) 369-8539 | Dr Leslaw J Gredysa, MD 31 Main Rd, Suite 2, Riverhead, NY 11901 Ph: (631) 369-8539 |
Fozia Lashari, Surgery Medicare: Medicare Enrolled Practice Location: 1300 Roanoke Ave, Riverhead, NY 11901 Phone: 631-548-6000 | |
Paayal P Mehta, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 715 Roanoke Ave, Suite 1, Riverhead, NY 11901 Phone: 631-963-4750 Fax: 631-591-1842 | |
Julia Zorn, DO Surgery Medicare: Medicare Enrolled Practice Location: 1 Heroes Way, Riverhead, NY 11901 Phone: 443-254-2167 | |
Agostino Cervone, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 34 Commerce Ave, Riverhead, NY 11901 Phone: 631-284-9250 Fax: 631-284-9249 |