Gregory John Diehl
Surgeon Plastic Hand Surgeon
1500 Route 112 Bldg # 10
Port Jefferson Station
, New York 11776
Gregory John Diehl
Surgeon Plastic Hand Surgeon
1500 Route 112 Bldg # 10
Port Jefferson Station
, New York 11776
(631) 476-7304
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About
Features
Specialties
- Surgeon
- Plastic Hand Surgeon
Languages spoken
- English
Location
First Address
- Gregory John Diehl
- 1500 Route 112 Bldg 10
- Port Jefferson Station, NY
- Zip : 11776-3184
- Fax : (631) 476-7304
- Phone : (631) 476-7300
Second Address
- Gregory John Diehl
- 1500 Route 112 Bldg # 10
- Port Jefferson Station, NY
- Zip : 11776
- Fax : (631) 476-7304
- Phone : (631) 476-7300
Reviews
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Is Gregory John Diehl a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208200000X | Surgeon | 1902162 | NY |
| Y | 208600000X | Surgeon | 1902162 | NY |
| N | 2082S0105X | Plastic Hand Surgeon | 1902162 | NY |
National Provider Identifier
| NPI | 1447249214 |
|---|---|
| Provider Name | Gregory John Diehl |
| First Address | Port Jefferson Station, NY 11776-3184 |
| Second Address | Port Jefferson Station, NY 11776 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/10/2005 |
| Last Update Date | 20/05/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E87758 | (02) |
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.