National Provider Identifier Database

LESLAW J GREDYSA, MD – NPI #1184729998
Vascular Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.


Contact Information

LESLAW J GREDYSA, MD
31 MAIN RD
SUITE 2
RIVERHEAD, NY11901
Phone: 631-369-8539
Fax: 631-369-5613
Website:
Specialty Taxonomy Code
* Vascular Surgery 2086S0129X

* Indicates primary specialty

NPI Profile & details for LESLAW J GREDYSA

NPI Number 1184729998
Credentials MD
Entity Individual
Enumeration date 09/14/2006
Last updated 11/14/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 175169
  • NY Medicaid: 01465594
  • NY Other: 738310 AETNA
  • NY Other: 35085 VYTRA
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for LESLAW J GREDYSA, MD

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