Basic Information
Provider Information
NPI: 1184176166
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HO
FirstName: APRIL
MiddleName: MILLER
NamePrefix:  
NameSuffix:  
Credential: RD, CPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: MILLER
OtherFirstName: APRIL
OtherMiddleName: MARIE
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 46 PRINCE ST
Address2: SUITE 3001
City: ROCHESTER
State: NY
PostalCode: 146071023
CountryCode: US
TelephoneNumber: 5855302050
FaxNumber:  
Practice Location
Address1: 46 PRINCE ST
Address2: SUITE 3001
City: ROCHESTER
State: NY
PostalCode: 146071023
CountryCode: US
TelephoneNumber: 5855302050
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/26/2016
LastUpdateDate: 09/24/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/24/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
133V00000X86029296NYY Dietary & Nutritional Service ProvidersDietitian, Registered 

No ID Information.


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