Provider Demographics
NPI:1083453336
Name:WILSON, APRIL SHARINE
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:SHARINE
Last Name:WILSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3462 3RD AVE APT 7I
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456-4471
Mailing Address - Country:US
Mailing Address - Phone:347-778-6321
Mailing Address - Fax:
Practice Address - Street 1:349 E 35TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-5001
Practice Address - Country:US
Practice Address - Phone:917-801-9150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-24
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator