Provider Demographics
NPI:1235250564
Name:KUCHUK, APRIL (PHD)
Entity Type:Individual
Prefix:DR
First Name:APRIL
Middle Name:
Last Name:KUCHUK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 BLEECKER ST
Mailing Address - Street 2:24F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-2202
Mailing Address - Country:US
Mailing Address - Phone:212-982-1212
Mailing Address - Fax:212-982-1212
Practice Address - Street 1:241 CENTRAL PARK W
Practice Address - Street 2:1 E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-4530
Practice Address - Country:US
Practice Address - Phone:212-787-5777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY8209-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical