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GREGORY JOHN DIEHL MD

Individual Provider (NPI-1) Active

Plastic Surgery

Provider Information

NPI Number
1447249214
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
1500 ROUTE 112 BLDG # 10, PORT JEFFERSON STATION, NY, 11776
Phone
(631) 476-7300
Fax
(631) 476-7304

Specialties & Taxonomies

Plastic Surgery Primary License: NY #1902162
Plastic Surgery, Surgery of the Hand License: NY #1902162

All Addresses

LOCATION

1500 ROUTE 112 BLDG # 10

PORT JEFFERSON STATION, NY, 11776

(631) 476-7300

MAILING

1500 ROUTE 112 BLDG 10

PORT JEFFERSON STATION, NY, 117763184

(631) 476-7300