MEDICARE: DANIEL S REICH MD GASTROENTEROLOGY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	226732	NY

General Provider Information

NPI Number	:	1922446178
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANIEL S REICH MD GASTROENTEROLOGY PLLC

Provider Business Mailing Address
First Line	:	PO BOX 298
Second Line	:
City	:	NEW ROCHELLE
State	:	NY
Zip	:	10804-0298
Country	:	US
Telephone Number	:	917-587-1195
Fax Number	:

Provider Business Practice Location Address
First Line	:	2960 GRAND CONCOURSE
Second Line	:	APT L1
City	:	BRONX
State	:	NY
Zip	:	10458-1904
Country	:	US
Telephone Number	:	718-295-6815
Fax Number	:	718-295-6828

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DANIEL S REICH
Credential	:	M.D.
Telephone Number	:	917-587-1195

Provider Enumeration Date	:	06/10/2013
Last Update Date	:	06/10/2013

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