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
Fax: (212) 873-9311
Website:

Health care specialties

SpecialtyCodeLicense #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 last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053622449 NPPES
New York Other 1053622449 NPI
New York MEDICAID 04229067 NPI

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