Individual
DAFERTI AFFLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
6010 BAY PKWY, SUITE 901, BROOKLYN, NY 11204-6079
(718) 238-2100
Mailing address
PO BOX 640804, OAKLAND GARDENS, NY 11364-0804
(404) 712-2000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F338567
NY
Other
Enumeration date
01/07/2014
Last updated
10/25/2016
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