Provider Demographics
NPI:1851119937
Name:IPPOLITO-TORRES, APRIL MARIE (CBS)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:MARIE
Last Name:IPPOLITO-TORRES
Suffix:
Gender:F
Credentials:CBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 GRADY LN
Mailing Address - Street 2:
Mailing Address - City:CORAM
Mailing Address - State:NY
Mailing Address - Zip Code:11727-3018
Mailing Address - Country:US
Mailing Address - Phone:631-295-7635
Mailing Address - Fax:
Practice Address - Street 1:3 GRADY LN
Practice Address - Street 2:
Practice Address - City:CORAM
Practice Address - State:NY
Practice Address - Zip Code:11727-3018
Practice Address - Country:US
Practice Address - Phone:631-295-7635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-28
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF9BF0E129E174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty