Provider Demographics
NPI:1508062647
Name:EPPS, APRIL CAROL (LAC, MS)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:CAROL
Last Name:EPPS
Suffix:
Gender:F
Credentials:LAC, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 RUTLAND RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11225-5313
Mailing Address - Country:US
Mailing Address - Phone:347-262-4099
Mailing Address - Fax:718-462-0279
Practice Address - Street 1:28 RUTLAND RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-5313
Practice Address - Country:US
Practice Address - Phone:347-262-4099
Practice Address - Fax:718-462-0279
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002361-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist