Healthcare Provider Details

I. General information

NPI: 1023070828
Provider Name (Legal Business Name): DANIEL S RICH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 04/23/2021
Certification Date: 04/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 EARLE OVINGTON BLVD STE 101
UNIONDALE NY
11553-3645
US

IV. Provider business mailing address

333 EARLE OVINGTON BLVD STE 101
UNIONDALE NY
11553-3645
US

V. Phone/Fax

Practice location:
  • Phone: 516-627-1525
  • Fax: 516-627-1754
Mailing address:
  • Phone: 516-627-1525
  • Fax: 516-627-1754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number135614
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: