Provider Demographics
NPI:1902067382
Name:HAWKINS, JERMEL JOSEPH JR (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:JERMEL
Middle Name:JOSEPH
Last Name:HAWKINS
Suffix:JR
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 11TH AVE
Mailing Address - Street 2:APT 7U
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-1221
Mailing Address - Country:US
Mailing Address - Phone:504-782-3953
Mailing Address - Fax:
Practice Address - Street 1:312 11TH AVE
Practice Address - Street 2:APT 7U
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-1221
Practice Address - Country:US
Practice Address - Phone:504-782-3953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2019-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY259311208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery