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

Gregory H Pelcak, PA

Individual provider Physician Assistant · NPI 1518369545

Gregory H Pelcak, PA is a Physician Assistant in Fort Drum, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

11050 Mount Belvedere Blvd
Fort Drum, NY 13602-5004
Phone: (315) 774-3057
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 019118-1 (NY)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1518369545
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 22, 2014
Last updated in NPPESApril 19, 2024
Certification dateApril 19, 2024

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