institution
Gregory J Diehl Md Pc
Medical Specialty Clinic/Center in Port Jefferson Station, New York
NPI 1235436130

Gregory J Diehl Md Pc is a Medical Specialty Clinic/Center based in Port Jefferson Station, NY and is specialized in Medical Specialty. Gregory J Diehl Md Pc practices in Port Jefferson Station, NY. The NPI Number for Gregory J Diehl Md Pc is 1235436130 and holds a License No. 1902162 (New York).

The current practice location address for Gregory J Diehl Md Pc is 11 Medical Dr, Port Jefferson Station, NY and can be reached out via phone at 631-476-7300 and via fax at 631-476-7304.

Location: 11 Medical Dr, Port Jefferson Station, NY, 11776-1589
institution
Provider Profile Details
NPI Number
1235436130
Provider Name
Gregory J Diehl Md Pc
Credential
Provider Entity Type
Organization
Address
11 Medical Dr, Port Jefferson Station, NY, 11776-1589
Phone Number
631-476-7300
Fax Number
631-476-7304
Provider Enumeration Date
02/12/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1447249214 01 NY NPI
institution
Provider Business Practice Location Address Details
Address
11 Medical Dr
City
State
Zip
11776-1589
Phone Number
631-476-7300
Fax Number
631-476-7304
person
Provider Business Mailing Address Details
Address
11 Medical Dr
City
State
Zip
11776-1589
Phone Number
631-476-7300
Fax Number
631-476-7304
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
1902162 (New York)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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