Individual
DANIEL JOHN REISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
105 MARYS AVE, KINGSTON, NY 12401-5829
(845) 338-2500
Mailing address
65 1/2 MAIN ST APT A, HIGHLAND, NY 12528-1449
(516) 662-5688
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/04/2025
Last updated
06/06/2025
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