Provider Demographics
NPI:1134904592
Name:HAWKINS, SYLVIA (RD, CDN)
Entity type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:RD, CDN
Other - Prefix:MRS
Other - First Name:SYLVIA
Other - Middle Name:
Other - Last Name:BOLLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:967 N BROADWAY
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1301
Mailing Address - Country:US
Mailing Address - Phone:914-964-4216
Mailing Address - Fax:
Practice Address - Street 1:1088 N BROADWAY
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1107
Practice Address - Country:US
Practice Address - Phone:914-207-0004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-25
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY955422133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered