Provider Demographics
NPI:1518983832
Name:RIEW, K DANIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:K
Middle Name:DANIEL
Last Name:RIEW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:622 W 168TH ST
Mailing Address - Street 2:PH-11, 1130
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3720
Mailing Address - Country:US
Mailing Address - Phone:212-305-5974
Mailing Address - Fax:212-305-6193
Practice Address - Street 1:5141 BROADWAY FL 3
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10034-1159
Practice Address - Country:US
Practice Address - Phone:212-305-5974
Practice Address - Fax:212-305-6193
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY278819207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO061010232Medicaid
IL$$$$$$$$$Medicaid
IL$$$$$$$$$Medicaid
MO061010232Medicare PIN