Individual provider · Type 1 NPI

Afix Famosa

Community Health Nurse Practitioner · Syracuse, NY

NPI number 1407237647 Active

Practice location

4443 Cleveland Rd
Syracuse, NY 13215-2419

Mailing address

1100 Ivy Ridge Rd Apt 31
Syracuse, NY 13210-4129

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X404140 (NY)
Community Health Nurse Practitioner Primary 363LC1500X320092 (NY)

Community Health Nurse Practitioner: Definition to come...

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About NPI 1407237647

Afix Famosa's National Provider Identifier is 1407237647, issued on Jun 12, 2015. The primary taxonomy on file is Community Health Nurse Practitioner (363LC1500X), and the practice location is in Syracuse, NY. The record was last updated on Apr 15, 2024.