Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 168339 | NY |
Y | 2080P0205X | Pediatric Endocrinologist | 168339 | NY |
NPI | 1093786832 |
---|---|
Provider Name | Dr. Lynn Ann Hawkins |
First Address | New Hyde Park, NY 11042-1101 |
Second Address | New Hyde Park, NY 11042-1101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2006 |
Last Update Date | 13/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
168339-1 | (05) | NY |
E39405 | (02) | NY |