Provider Demographics
NPI:1730302571
Name:MARTIN, APRIL C (PHD)
Entity Type:Individual
Prefix:DR
First Name:APRIL
Middle Name:C
Last Name:MARTIN
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 1:429 W 24TH ST
Mailing Address - Street 2:APT. 2F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-1225
Mailing Address - Country:US
Mailing Address - Phone:212-675-6872
Mailing Address - Fax:
Practice Address - Street 1:429 W 24TH ST
Practice Address - Street 2:APT. 2F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-1225
Practice Address - Country:US
Practice Address - Phone:212-675-6872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5399103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical