Provider Demographics
NPI:1700119476
Name:ROBERT S. REIFFEL, MD, PC
Entity type:Organization
Organization Name:ROBERT S. REIFFEL, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:REIFFEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-683-1400
Mailing Address - Street 1:12 GREENRIDGE AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-1238
Mailing Address - Country:US
Mailing Address - Phone:914-683-1400
Mailing Address - Fax:914-683-0144
Practice Address - Street 1:12 GREENRIDGE AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-1238
Practice Address - Country:US
Practice Address - Phone:914-683-1400
Practice Address - Fax:914-683-0144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-14
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1167552082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the HandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00611945Medicaid
NY00611945Medicaid
NY6067240001Medicare NSC