Individual
MICHAEL JASON REITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
HSC L4 RM 120, 100 NICHOLS ROAD, STONY BROOK, NY 11794-8460
(631) 444-5400
(631) 444-7538
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-5400
(631) 444-7538
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
244575
NY
Other
Enumeration date
06/16/2007
Last updated
10/30/2014
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