Provider Demographics
NPI:1134175573
Name:REITER, ROBIN (DPT, ATC)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:REITER
Suffix:
Gender:F
Credentials:DPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 E 39TH ST
Mailing Address - Street 2:#1006
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-0933
Mailing Address - Country:US
Mailing Address - Phone:917-721-6834
Mailing Address - Fax:646-454-9130
Practice Address - Street 1:150 E 39TH ST
Practice Address - Street 2:#1006
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-0933
Practice Address - Country:US
Practice Address - Phone:917-721-6834
Practice Address - Fax:646-454-9130
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-26
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY24540225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ18851Medicare ID - Type UnspecifiedEMPIRE MEDICARE