Healthcare Provider Details

I. General information

NPI: 1104739580
Provider Name (Legal Business Name): APRIL T LIBERI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

89-95 INDUSTRIAL ROAD
WAINSCOTT NY
11975
US

IV. Provider business mailing address

89-95 INDUSTRIAL ROAD
WAINSCOTT NY
11975
US

V. Phone/Fax

Practice location:
  • Phone: 631-537-2891
  • Fax: 718-210-3177
Mailing address:
  • Phone: 631-603-5520
  • Fax: 718-210-3177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number496869-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: