Healthcare Provider Details

I. General information

NPI: 1730466558
Provider Name (Legal Business Name): MADELINE W. APPELL MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MADELINE W. APPELL MA

II. Dates (important events)

Enumeration Date: 11/08/2011
Last Update Date: 11/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 CENTRAL PARK W APARTMENT 11 F
NEW YORK NY
10023-5204
US

IV. Provider business mailing address

80 CENTRAL PARK W APARTMENT 11F
NEW YORK NY
10023-5204
US

V. Phone/Fax

Practice location:
  • Phone: 212-580-3721
  • Fax: 212-580-3721
Mailing address:
  • Phone: 212-580-3721
  • Fax: 212-580-3721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number351082
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: