Provider Demographics
NPI:1942343116
Name:REITER, LEVI ALTER (PHD)
Entity Type:Individual
Prefix:DR
First Name:LEVI
Middle Name:ALTER
Last Name:REITER
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 1:885 MONTGOMERY ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-5619
Mailing Address - Country:US
Mailing Address - Phone:718-363-1084
Mailing Address - Fax:718-773-1681
Practice Address - Street 1:885 MONTGOMERY ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-5619
Practice Address - Country:US
Practice Address - Phone:718-363-1084
Practice Address - Fax:718-773-1681
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000631-1237600000X
NY14000005161237700000X
NY15000002980237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Not Answered237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP3506558OtherOXFORD
NYM00871Medicare ID - Type UnspecifiedAUDIOLOGY