Individual provider · Type 1 NPI

Jason Michael Astafan

Family Nurse Practitioner · Cicero, NY

NPI number 1720829435 Active

Practice location

5586 Legionnaire Dr
Cicero, NY 13039-3504

Fax (315) 204-1070

Mailing address

105 Trent Ln
Camillus, NY 13031-1615

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X354414 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1720829435

Jason Michael Astafan's National Provider Identifier is 1720829435, issued on Jun 5, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Cicero, NY. The record was last updated on Jun 5, 2024.