Provider Demographics
NPI:1306015987
Name:BANK, HERMAN HARRY
Entity Type:Individual
Prefix:
First Name:HERMAN
Middle Name:HARRY
Last Name:BANK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 EXETER CT
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14215-1824
Mailing Address - Country:US
Mailing Address - Phone:631-505-2189
Mailing Address - Fax:
Practice Address - Street 1:5 EXETER CT
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215-1824
Practice Address - Country:US
Practice Address - Phone:631-505-2189
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-27
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048710183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist