Provider Demographics
NPI:1750332052
Name:APRILE, GEORGETTE NICHOLAS (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGETTE
Middle Name:NICHOLAS
Last Name:APRILE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:171 HIGH FARMS RD
Mailing Address - Street 2:
Mailing Address - City:GLEN HEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11545-2226
Mailing Address - Country:US
Mailing Address - Phone:516-759-2245
Mailing Address - Fax:516-757-3424
Practice Address - Street 1:8 MEDICAL PLZ
Practice Address - Street 2:
Practice Address - City:GLEN COVE
Practice Address - State:NY
Practice Address - Zip Code:11542-2102
Practice Address - Country:US
Practice Address - Phone:516-759-9200
Practice Address - Fax:516-759-3424
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY124459174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00377702Medicaid
NYB13295Medicare UPIN
NY338071Medicare ID - Type Unspecified