Provider Demographics
NPI:1639181092
Name:ROBERT REINER, PH D PC
Entity Type:Organization
Organization Name:ROBERT REINER, PH D PC
Other - Org Name:BEHAVIORAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:REINER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:212-860-8500
Mailing Address - Street 1:114 E 90TH ST
Mailing Address - Street 2:SUITE 1A
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:SUITE 1A
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6733103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty