Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREGORY JOHN DIEHL, MD
Active Sole ProprietorGREGORY JOHN DIEHL, MD is a Plastic Surgery healthcare provider located in PORT JEFFERSON STATION, New York. NPI 1447249214 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery · PORT JEFFERSON STATION, NY
Registration Details
- NPI Number
- 1447249214
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 14, 2005 (20.689087856306 yrs)
- Last Updated
- May 20, 2020
- Licenses
-
1902162 (NY)1902162 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1500 ROUTE 112 BLDG # 10PORT JEFFERSON STATION, NY, 11776Browse NY providers · Browse ZIP 11776
- Phone
- 6314767300
- Fax
- 6314767304
- Primary Specialty
-
Plastic Surgery
208200000X
- Additional Specialty
- Surgery of the Hand (Plastic)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.