Provider Demographics
NPI:1538344528
Name:HAWK, LEAH SASHA (DAC, LAC)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:SASHA
Last Name:HAWK
Suffix:
Gender:F
Credentials:DAC, LAC
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:SASHA
Other - Last Name:SCHWARTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DAC, LAC
Mailing Address - Street 1:420 S RIVERSIDE AVE # 239
Mailing Address - Street 2:
Mailing Address - City:CROTON ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10520-3055
Mailing Address - Country:US
Mailing Address - Phone:914-402-6999
Mailing Address - Fax:
Practice Address - Street 1:236 KINGS FERRY RD
Practice Address - Street 2:
Practice Address - City:VERPLANCK
Practice Address - State:NY
Practice Address - Zip Code:10596-7701
Practice Address - Country:US
Practice Address - Phone:914-402-6999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-08
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003673171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist