Healthcare Provider Details

I. General information

NPI: 1073046009
Provider Name (Legal Business Name): DANIEL REIFF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DANIEL DAVID REIFF MD

II. Dates (important events)

Enumeration Date: 04/06/2017
Last Update Date: 07/09/2023
Certification Date: 07/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14080 BOYS TOWN HOSPITAL RD
BOYS TOWN NE
68010-7513
US

IV. Provider business mailing address

14080 BOYS TOWN HOSPITAL RD
BOYS TOWN NE
68010-7513
US

V. Phone/Fax

Practice location:
  • Phone: 531-355-6863
  • Fax: 531-355-7449
Mailing address:
  • Phone: 531-355-6863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0216X
TaxonomyPediatric Rheumatology Physician
License NumberMD.37324
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD.37324
License Number StateAL
# 3
Primary TaxonomyY
Taxonomy Code2080P0216X
TaxonomyPediatric Rheumatology Physician
License Number35707
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: