Provider Demographics
NPI:1174867865
Name:REITER REHABILITATION PT PC
Entity Type:Organization
Organization Name:REITER REHABILITATION PT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:REITER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, ATC
Authorized Official - Phone:917-721-6834
Mailing Address - Street 1:301 E 66TH ST
Mailing Address - Street 2:9B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-6205
Mailing Address - Country:US
Mailing Address - Phone:917-721-6834
Mailing Address - Fax:
Practice Address - Street 1:301 E 66TH ST
Practice Address - Street 2:9B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-6205
Practice Address - Country:US
Practice Address - Phone:917-721-6834
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-19
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024540-12251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty