Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 135614 | NY |
NPI | 1023070828 |
---|---|
Provider Name | Daniel S Rich |
First Address | Uniondale, NY 11553-3645 |
Second Address | Uniondale, NY 11553-3645 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2006 |
Last Update Date | 23/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
427G81 | BC PPO (01) | NY |
B79094 | (02) | |
P2551933 | OXFORD (01) | NY |