Provider Demographics
NPI:1912308180
Name:HAWKINS, XIUTING (IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:XIUTING
Middle Name:
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:526 KAPPOCK STREET
Mailing Address - Street 2:APARTMENT 2
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-6402
Mailing Address - Country:US
Mailing Address - Phone:347-978-4484
Mailing Address - Fax:347-945-0813
Practice Address - Street 1:526 KAPPOCK STREET
Practice Address - Street 2:APARTMENT 2
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-6402
Practice Address - Country:US
Practice Address - Phone:347-978-4484
Practice Address - Fax:347-945-0813
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-08
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY604356-1163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant