Dr. Gregory Brent Dodell
Internist Endocrinologist (Diabetes Doctor)
115 Central Park West Suite 14
New York City
, New York 10023-4198
Dr. Gregory Brent Dodell
Internist Endocrinologist (Diabetes Doctor)
115 Central Park West Suite 14
New York City
, New York 10023-4198
(212) 873-9311
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About
Features
Specialties
- Internist
- Endocrinologist (Diabetes Doctor)
Languages spoken
- English
Location
First Address
- Dr. Gregory Brent Dodell
- 115 Central Park West Suite 14
- New York City, NY
- Zip : 10023-4198
- Fax : (212) 873-9311
- Phone : (212) 877-2100
Second Address
- Dr. Gregory Brent Dodell
- 115 Central Park West Suite 14
- New York City, NY
- Zip : 10023-4198
- Fax : (212) 873-9311
- Phone : (212) 877-2100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 257597-1 | NY |
| N | 111NI0900X | Internist | 257597-1 | NY |
| Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 257597-1 | NY |
National Provider Identifier
| NPI | 1053622449 |
|---|---|
| Provider Name | Dr. Gregory Brent Dodell |
| First Address | New York City, NY 10023-4198 |
| Second Address | New York City, NY 10023-4198 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2010 |
| Last Update Date | 10/04/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| FD3095278 | DEA (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.