Provider Demographics
NPI:1235382417
Name:ASSOCIATION FOR VISION REHABILITATION AND EMPLOYMENT, INC.
Entity Type:Organization
Organization Name:ASSOCIATION FOR VISION REHABILITATION AND EMPLOYMENT, INC.
Other - Org Name:A.V.R.E.
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:K
Authorized Official - Last Name:HANYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-724-2428
Mailing Address - Street 1:174 COURT ST
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13901-3514
Mailing Address - Country:US
Mailing Address - Phone:607-724-2428
Mailing Address - Fax:607-771-8045
Practice Address - Street 1:174 COURT ST
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13901-3514
Practice Address - Country:US
Practice Address - Phone:607-724-2428
Practice Address - Fax:607-771-8045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-31
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY152WL0500X
NY11837252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WL0500XEye and Vision Services ProvidersOptometristLow Vision RehabilitationGroup - Single Specialty
No252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Single Specialty