Provider Demographics
NPI:1497978043
Name:DR BRUCE R HANKIN & ASSOCIATES
Entity Type:Organization
Organization Name:DR BRUCE R HANKIN & ASSOCIATES
Other - Org Name:EYESITE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:VERRONE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:585-377-7090
Mailing Address - Street 1:2160 PENFIELD RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PENFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14526
Mailing Address - Country:US
Mailing Address - Phone:585-377-7090
Mailing Address - Fax:585-377-3155
Practice Address - Street 1:2160 PENFIELD RD
Practice Address - Street 2:SUITE 100
Practice Address - City:PENFIELD
Practice Address - State:NY
Practice Address - Zip Code:14526
Practice Address - Country:US
Practice Address - Phone:585-377-7090
Practice Address - Fax:585-377-3155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG0184164370OtherBLUE CHOICE
NY=========OtherUNITED HEALTH
NYG0184164370OtherBLUE CHOICE
NYAA1131Medicare ID - Type Unspecified