Dodell, Gregory Brent
Dodell, Gregory Brent is an sole proprietor health care provider with primary practice located at 115 Central Park West Suite 14, New York City NY 10023-4198. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Dodell, Gregory Brent can be contacted via phone (212) 877-2100.Contact Information
Primary practice address
115 Central Park West Suite 14
New York City NY 10023-4198
Phone: (212) 877-2100
Fax: (212) 873-9311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 257597-1 | New York |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 257597-1 | New York |
Profile Details
| NPI number | 1053622449 |
|---|---|
| LBN Legal business name | Dodell, Gregory Brent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2010 |
| Last updated | Aug 4th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053622449 | NPPES |
| New York | Other | 1053622449 | NPI |
| New York | MEDICAID | 04229067 | NPI |
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