Provider Demographics
NPI:1578820908
Name:REINER, ROBERT H (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:H
Last Name:REINER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 E 90TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1550
Mailing Address - Country:US
Mailing Address - Phone:212-860-8500
Mailing Address - Fax:212-860-9597
Practice Address - Street 1:114 E 90TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1550
Practice Address - Country:US
Practice Address - Phone:212-860-8500
Practice Address - Fax:212-860-9597
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-23
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006733-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist