Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Peconic Surgical Group, PC

Organization Specialist · NPI 1811187214

Peconic Surgical Group, PC is a Specialist in Riverhead, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

31 Main Rd Ste 2
Riverhead, NY 11901-1953
Phone: (631) 369-8539
Fax: (631) 369-5613
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 175169 (NY)

Record details

NPI number1811187214
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leslaw Gredysa — President · (631) 369-8539
NPI enumeratedJuly 31, 2007
Last updated in NPPESNovember 14, 2007
Mailing address31 Main Rd, Suite 2, Riverhead, NY 11901-1953

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