Provider Demographics
NPI:1295056505
Name:TAYLOR, APRIL HARRIS (MASTERS DEGREE)
Entity type:Individual
Prefix:MS
First Name:APRIL
Middle Name:HARRIS
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MASTERS DEGREE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:779 CONCOURSE VILLAGE EAST #6F
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451
Mailing Address - Country:US
Mailing Address - Phone:718-483-8769
Mailing Address - Fax:
Practice Address - Street 1:779 CONCOURSE VLG E APT 6F
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-3713
Practice Address - Country:US
Practice Address - Phone:718-483-8769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-21
Last Update Date:2014-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY346066091252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency