Provider Demographics
NPI:1235661133
Name:ZIELINSKI, GREGORY RONALD
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:RONALD
Last Name:ZIELINSKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 HARVARD ST
Mailing Address - Street 2:
Mailing Address - City:WILLISTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11596-1318
Mailing Address - Country:US
Mailing Address - Phone:516-353-0283
Mailing Address - Fax:
Practice Address - Street 1:157 E WOODSIDE AVE
Practice Address - Street 2:
Practice Address - City:PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-1421
Practice Address - Country:US
Practice Address - Phone:631-475-1900
Practice Address - Fax:631-475-1955
Is Sole Proprietor?:No
Enumeration Date:2017-03-30
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY315683208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery