Diehl, Gregory John

Diehl, Gregory John is an sole proprietor health care provider with primary practice located at 1500 Route 112 Bldg # 10 , Port Jefferson Station NY 11776. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Diehl, Gregory John can be contacted via phone (631) 476-7300.

Contact Information

Primary practice address
1500 Route 112 Bldg # 10 Port Jefferson Station NY 11776
Phone: (631) 476-7300
Fax: (631) 476-7304
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 1902162 New York
Allopathic & Osteopathic Physicians / Surgery of the Hand 2082S0105X 1902162 New York

Profile Details

NPI number 1447249214
LBN Legal business name Diehl, Gregory John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2005
Last updated May 20th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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