Provider Demographics
NPI:1023070828
Name:RICH, DANIEL S (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:S
Last Name:RICH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:333 EARLE OVINGTON BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:UNIONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11553-3645
Mailing Address - Country:US
Mailing Address - Phone:516-627-1525
Mailing Address - Fax:516-627-1754
Practice Address - Street 1:333 EARLE OVINGTON BLVD STE 101
Practice Address - Street 2:
Practice Address - City:UNIONDALE
Practice Address - State:NY
Practice Address - Zip Code:11553-3645
Practice Address - Country:US
Practice Address - Phone:516-627-1525
Practice Address - Fax:516-627-1754
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY135614207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP2551933OtherOXFORD
NY427G81OtherBC PPO
NYP2551933OtherOXFORD
B79094Medicare UPIN