Provider Demographics
NPI:1073876363
Name:HOUSE, APRIL MARIE
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:MARIE
Last Name:HOUSE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 S LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:BERGEN
Mailing Address - State:NY
Mailing Address - Zip Code:14416-9419
Mailing Address - Country:US
Mailing Address - Phone:585-469-0326
Mailing Address - Fax:
Practice Address - Street 1:47 S LAKE AVE
Practice Address - Street 2:
Practice Address - City:BERGEN
Practice Address - State:NY
Practice Address - Zip Code:14416-9419
Practice Address - Country:US
Practice Address - Phone:585-469-0326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No174400000XOther Service ProvidersSpecialist