Provider Demographics
NPI:1376869438
Name:MINOTT, AVRIL
Entity Type:Individual
Prefix:
First Name:AVRIL
Middle Name:
Last Name:MINOTT
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 1:228 E 45TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-3303
Mailing Address - Country:US
Mailing Address - Phone:212-818-0300
Mailing Address - Fax:212-490-6997
Practice Address - Street 1:228 E 45TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-3303
Practice Address - Country:US
Practice Address - Phone:212-818-0300
Practice Address - Fax:212-490-6997
Is Sole Proprietor?:No
Enumeration Date:2010-04-14
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY328589-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse