Individual
DR. GREGORY SCOTT DIFELICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021
(212) 606-1844
(212) 746-8744
Mailing address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 606-1844
(212) 746-8744
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
202532
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
202532
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
25MA09393500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02152321
—
NY
01
—
202532
STATE LICENSE
NY
01
—
25MA09393500
STATE LICENSE
NJ
Enumeration date
03/16/2006
Last updated
05/16/2025
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