Provider Demographics
NPI:1144220187
Name:STUART REIBER MD PC
Entity Type:Organization
Organization Name:STUART REIBER MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:
Authorized Official - Last Name:REIBER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-354-1181
Mailing Address - Street 1:4 TOBEY LN
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-1226
Mailing Address - Country:US
Mailing Address - Phone:845-354-1181
Mailing Address - Fax:845-354-1377
Practice Address - Street 1:12A N AIRMONT RD
Practice Address - Street 2:NUMBER 2
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-5152
Practice Address - Country:US
Practice Address - Phone:845-354-1181
Practice Address - Fax:845-354-1377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-29
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174829207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJF97924Medicare UPIN
NJ077696Medicare PIN
NY37M961Medicare PIN
NYF97924Medicare UPIN