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Contact Information

GREGORY J DIEHL, MD
1500 ROUTE 112 BLDG # 10
PORT JEFFERSON STATION, NY11776
 Phone: 631-476-7300
 Fax: 631-476-7304
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Surgery of the Hand

2082S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for GREGORY J DIEHL · (Male)

NPI # 1447249214
Status Active
Credentials MD
Entity Individual
Enumeration date 10/14/2005
Last updated 05/20/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 1902162
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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