Provider Demographics
NPI:1619317757
Name:PIECORA, APRIL L (RN)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:L
Last Name:PIECORA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 SNOWBERRY CT
Mailing Address - Street 2:
Mailing Address - City:MILLER PLACE
Mailing Address - State:NY
Mailing Address - Zip Code:11764-3051
Mailing Address - Country:US
Mailing Address - Phone:631-331-5212
Mailing Address - Fax:
Practice Address - Street 1:3 SNOWBERRY CT
Practice Address - Street 2:
Practice Address - City:MILLER PLACE
Practice Address - State:NY
Practice Address - Zip Code:11764-3051
Practice Address - Country:US
Practice Address - Phone:631-331-5212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-03
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY482048-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY482048-1Medicaid