Individual
MR. DANIEL C. REYLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
221 MAHALANI ST, WAILUKU, HI 96793-2526
(808) 868-8382
Mailing address
221 MAHALANI ST, WAILUKU, HI 96793-2526
(808) 868-8382
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0983
NH
363A00000X
Physician Assistant
Primary
AMD-479
HI
363AS0400X
Surgical Physician Assistant
23 012731
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3094040
—
NH
Enumeration date
08/29/2008
Last updated
01/23/2023
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