Individual
BOMA AFONYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1801 W ALCOTT AVE, FERGUS FALLS, MN 56537-2661
(218) 332-5001
Mailing address
111 E 77TH ST, NEW YORK, NY 10075-1802
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
324793
NY
2084P0800X
Psychiatry Physician
Primary
80441
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/29/2021
Last updated
03/04/2026
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