Individual
MS. RIA GRACE HAWKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
3959 BROADWAY, CHONY 10 NORTH, NEW YORK, NY 10032-1559
(212) 305-5593
(212) 342-0642
Mailing address
3959 BROADWAY, CHONY 10 NORTH, NEW YORK, NY 10032-1559
(212) 305-5593
(212) 342-0642
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381490-1
NY
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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