Healthcare Provider Details

I. General information

NPI: 1811428758
Provider Name (Legal Business Name): GREGORY MICHAEL DAUBS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2017
Last Update Date: 07/31/2023
Certification Date: 07/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95-25 QUEENS BLVD FL 6
REGO PARK NY
11374
US

IV. Provider business mailing address

95-25 QUEENS BLVD FL 6
REGO PARK NY
11374
US

V. Phone/Fax

Practice location:
  • Phone: 516-723-2663
  • Fax:
Mailing address:
  • Phone: 516-723-2663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number22252
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number320580
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: