Provider Demographics
NPI:1326231895
Name:HAWKINS, TAMARA (NP-C, IBCLC, LCCE)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:NP-C, IBCLC, LCCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2509
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-8813
Mailing Address - Country:US
Mailing Address - Phone:646-627-7334
Mailing Address - Fax:646-627-7334
Practice Address - Street 1:2235 FREDERICK DOUGLASS BLVD
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-6175
Practice Address - Country:US
Practice Address - Phone:646-627-7334
Practice Address - Fax:646-627-7334
Is Sole Proprietor?:No
Enumeration Date:2007-08-19
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY33 337605163WL0100X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant