Provider Demographics
NPI:1730514076
Name:PACE, APRIL C (MSED)
Entity type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:C
Last Name:PACE
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 E SUNRISE HWY # 1017
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11520-3945
Mailing Address - Country:US
Mailing Address - Phone:347-560-0035
Mailing Address - Fax:
Practice Address - Street 1:160 E SUNRISE HWY # 1017
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:NY
Practice Address - Zip Code:11520-3945
Practice Address - Country:US
Practice Address - Phone:347-560-0035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-05
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY615489121174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist