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Organization
LONG ISLAND JEWISH FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRAC
Active
Organization
LONG ISLAND JEWISH FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRAC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE AFONSO PA (PHYSICIAN ASSISTANT)
(718) 470-7000
Entity
Organization
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7000
(718) 962-6759
Mailing address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7000
(718) 962-6759
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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