Individual
DR. BRIAN DIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 MAIN ST, SOUTHAMPTON, NY 11968-4810
(631) 283-4250
(631) 283-5189
Mailing address
111 MAIN ST, SOUTHAMPTON, NY 11968-4810
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
059782
NY
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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