Basic Information
Provider Information
NPI: 1942663075
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HANKINS
FirstName: DAVID
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D., M.ED.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 53 W 23RD ST FL 6
Address2:  
City: NEW YORK
State: NY
PostalCode: 100104237
CountryCode: US
TelephoneNumber: 2127467200
FaxNumber:  
Practice Location
Address1: 53 W 23RD ST FL 6
Address2:  
City: NEW YORK
State: NY
PostalCode: 100104237
CountryCode: US
TelephoneNumber: 2127467200
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/05/2016
LastUpdateDate: 09/01/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/01/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0802X289705NYN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
2084P0800X289705NYY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


Home