# PECONIC ENDOCRINOLOGY, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396106860
- **Authorized official:** DR. BARBARA GREDYSA MD (PRESIDENT)
- **Authorized official phone:** (631) 369-8539

## Contact information

- **Practice address:** 234 HAMPTON RD, SOUTHAMPTON, NY 11968-5028
- **Practice address phone:** (631) 369-8539
- **Practice address fax:** (631) 369-5613
- **Mailing address:** 234 HAMPTON RD, SOUTHAMPTON, NY 11968-5028
- **Mailing address phone:** (631) 369-8539
- **Mailing address fax:** (631) 369-5613

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 280046 | NY | Yes |

## Other

- **Enumeration date:** 03/11/2016
- **Last updated:** 03/11/2016