Provider Demographics
NPI:1922446178
Name:DANIEL S REICH MD GASTROENTEROLOGY PLLC
Entity Type:Organization
Organization Name:DANIEL S REICH MD GASTROENTEROLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:REICH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-587-1195
Mailing Address - Street 1:PO BOX 298
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-0298
Mailing Address - Country:US
Mailing Address - Phone:917-587-1195
Mailing Address - Fax:
Practice Address - Street 1:2960 GRAND CONCOURSE
Practice Address - Street 2:APT L1
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-1904
Practice Address - Country:US
Practice Address - Phone:718-295-6815
Practice Address - Fax:718-295-6828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-10
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY226732207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYI51403Medicare UPIN