Provider Demographics
NPI:1639108483
Name:DANKNER, RICHARD EARLE (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:EARLE
Last Name:DANKNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 FOREST DR
Mailing Address - Street 2:
Mailing Address - City:SANDS POINT
Mailing Address - State:NY
Mailing Address - Zip Code:11050-1900
Mailing Address - Country:US
Mailing Address - Phone:516-883-9455
Mailing Address - Fax:
Practice Address - Street 1:1625 SAINT PETERS AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-3000
Practice Address - Country:US
Practice Address - Phone:718-823-9227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY101296207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00174263Medicaid
NY00174263Medicaid