Provider Demographics
NPI:1891778205
Name:LANKIN, DANIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:LANKIN
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 1:127 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-4006
Mailing Address - Country:US
Mailing Address - Phone:914-378-7690
Mailing Address - Fax:914-378-7167
Practice Address - Street 1:127 S BROADWAY
Practice Address - Street 2:ST. JOSEPH'S MEDICAL CENTER
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-4006
Practice Address - Country:US
Practice Address - Phone:914-378-7690
Practice Address - Fax:914-378-7167
Is Sole Proprietor?:No
Enumeration Date:2005-11-21
Last Update Date:2010-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1339182085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00980745Medicaid
PA1019344440001Medicaid
NJ0140171Medicaid
NYC05201Medicare UPIN
NY699431Medicare ID - Type UnspecifiedMEDICARE EMPIRE
NJ0140171Medicaid
PA1019344440001Medicaid