Healthcare Provider Details

I. General information

NPI: 1407172992
Provider Name (Legal Business Name): APRIL MARIE HULETT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2010
Last Update Date: 04/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1603 RT. 9, TOWNE CENTER PLAZA
CLIFTON PARK NY
12065
US

IV. Provider business mailing address

1603 RT. 9, TOWNE CENTER PLAZA
CLIFTON PARK NY
12065
US

V. Phone/Fax

Practice location:
  • Phone: 518-369-3646
  • Fax:
Mailing address:
  • Phone: 518-369-3646
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number0221991
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: