MEDICARE: DR. LINDA A REUTER D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	X007185-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	917310	OTHER	NY	NY STATE EMPIRE PLAN
2	5804221	OTHER	NY	GHI PROVIDER NUMBER
3	CO7185-4B	OTHER	NY	WORKERS COMPENSATION

General Provider Information

NPI Number	:	1639224397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDA A REUTER D.C.

Provider Business Mailing Address
First Line	:	95 CLINCH AVE
Second Line	:
City	:	GARDEN CITY
State	:	NY
Zip	:	11530-2443
Country	:	US
Telephone Number	:	516-326-4507
Fax Number	:	516-326-4508

Provider Business Practice Location Address
First Line	:	95 CLINCH AVE
Second Line	:
City	:	GARDEN CITY
State	:	NY
Zip	:	11530-2443
Country	:	US
Telephone Number	:	516-326-4507
Fax Number	:	516-326-4508

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	07/08/2007

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