Provider Demographics
NPI: | 1659394534 |
---|---|
Name: | APRIL, MAX M (MD) |
Entity Type: | Individual |
Prefix: | |
First Name: | MAX |
Middle Name: | M |
Last Name: | APRIL |
Suffix: | |
Gender: | M |
Credentials: | MD |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 186 E 76TH ST |
Mailing Address - Street 2: | 2ND FLOOR |
Mailing Address - City: | NEW YORK |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 10021-2844 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 212-327-3000 |
Mailing Address - Fax: | 212-327-3004 |
Practice Address - Street 1: | 240 E 38TH ST |
Practice Address - Street 2: | |
Practice Address - City: | NEW YORK |
Practice Address - State: | NY |
Practice Address - Zip Code: | 10016-2708 |
Practice Address - Country: | US |
Practice Address - Phone: | 646-501-7890 |
Practice Address - Fax: | 212-263-8257 |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2006-07-25 |
Last Update Date: | 2024-01-03 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NY | 184974 | 207Y00000X, 207YP0228X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207YP0228X | Allopathic & Osteopathic Physicians | Otolaryngology | Pediatric Otolaryngology |
No | 207Y00000X | Allopathic & Osteopathic Physicians | Otolaryngology |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
NY | 460706 | Other | AETNA PROVIDER ID # |
NY | 86588 | Other | VYTRA PROVIDER ID |
NY | 86588 | Other | VYTRA PROVIDER ID |