Individual
MR. AFIX FAMOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4443 CLEVELAND RD, SYRACUSE, NY 13215-2419
(347) 257-6706
Mailing address
1100 IVY RIDGE RD APT 31, SYRACUSE, NY 13210-4129
(347) 257-6706
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
320092
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
404140
NY
Other
Enumeration date
06/12/2015
Last updated
04/15/2024
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