Healthcare Provider Details

I. General information

NPI: 1144132812
Provider Name (Legal Business Name): DANIEL RIAD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 WILLIAM ST
NEW YORK NY
10038-2612
US

IV. Provider business mailing address

127 WAINWRIGHT AVE
STATEN ISLAND NY
10312-2037
US

V. Phone/Fax

Practice location:
  • Phone: 212-312-5000
  • Fax:
Mailing address:
  • Phone: 347-359-2840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number074496
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: