Provider Demographics
NPI:1891520466
Name:REINHORN, DANIEL JACK (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:JACK
Last Name:REINHORN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 MAIN ST APT 11B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10044-0244
Mailing Address - Country:US
Mailing Address - Phone:917-415-6960
Mailing Address - Fax:
Practice Address - Street 1:425 MAIN ST APT 11B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10044-0244
Practice Address - Country:US
Practice Address - Phone:917-415-6960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program