Individual
DR. JOHN RUSSELL HAWKINS IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
165 MAIN ST, 2ND FLOOR, OSSINING, NY 10562-4702
(914) 502-1425
Mailing address
165 MAIN ST, 2ND FLOOR, OSSINING, NY 10562-4702
(914) 502-1425
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO1000054
DC
213ES0103X
Foot & Ankle Surgery Podiatrist
01447
MD
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N006188
NY
Other
Enumeration date
01/10/2007
Last updated
05/27/2015
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