Provider Demographics
NPI:1093765174
Name:REICH, DANIEL S (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:S
Last Name:REICH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 298
Mailing Address - Street 2:SUITE 107
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-0298
Mailing Address - Country:US
Mailing Address - Phone:718-544-0442
Mailing Address - Fax:718-793-4290
Practice Address - Street 1:6960 108TH ST
Practice Address - Street 2:SUITE 107
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4323
Practice Address - Country:US
Practice Address - Phone:718-544-0442
Practice Address - Fax:718-793-4290
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-11
Last Update Date:2016-04-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY226732207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYI51403Medicare UPIN
NY4V8611Medicare ID - Type Unspecified