1538344528 NPI number — LEAH SASHA HAWK D.AC., L.AC.

Table of content: LEAH SASHA HAWK D.AC., L.AC. (NPI 1538344528)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538344528 NPI number — LEAH SASHA HAWK D.AC., L.AC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HAWK
Provider First Name:
LEAH
Provider Middle Name:
SASHA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
D.AC., L.AC.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SCHWARTZ
Provider Other First Name:
LEAH
Provider Other Middle Name:
SASHA
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
D.AC., L.AC.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1538344528
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/11/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
420 S RIVERSIDE AVE # 239
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CROTON ON HUDSON
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10520-3055
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-402-6999
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
236 KINGS FERRY RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VERPLANCK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10596-7701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-402-6999
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/08/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171100000X , with the licence number:  003673 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)