IndividualActive
Afix Famosa
NPI 1407237647 · Community Health Nurse Practitioner · Syracuse, NY
Provider details
- NPI number
- 1407237647
- Entity type
- Individual
- Primary specialty
- Community Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 404140 (NY)
Mailing address
1100 Ivy Ridge Rd Apt 31
Syracuse, NY 13210-4129
Registry dates
- Enumerated
- 2015-06-12
- Last updated
- 2024-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.