Individual
DR. PAUL M REITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 MARYS AVE, SUITE 3, KINGSTON, NY 12401-5852
(845) 339-3663
(845) 339-3629
Mailing address
111 MARYS AVE, SUITE 3, KINGSTON, NY 12401-5852
(845) 339-3663
(845) 339-3629
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
136910
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00707319
—
NY
Enumeration date
08/17/2005
Last updated
08/30/2012
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