Provider Demographics
NPI:1417210121
Name:REITER, ALEXSANDRA (MS ED)
Entity Type:Individual
Prefix:MRS
First Name:ALEXSANDRA
Middle Name:
Last Name:REITER
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3848 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-1314
Mailing Address - Country:US
Mailing Address - Phone:718-975-8256
Mailing Address - Fax:
Practice Address - Street 1:3848 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-1314
Practice Address - Country:US
Practice Address - Phone:718-975-8256
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-18
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist