MR. AFIX FAMOSA (NPI# 1407237647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407237647 |
| Entity Type | Individual |
| Full Name | MR. AFIX FAMOSA |
| Practice Address |
1100 Ivy Ridge Rd Apt 31 Syracuse NY 13210-4129 |
| Practice Telephone | 3472576706 |
| Mailing Telephone | 3472576706 |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2015-06-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
320092 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1100 IVY RIDGE RD APT 31 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-4129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
| Find all providers in zip 13210 | ||||
| Taxonomy Code | 363LC1500X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104172931 | Megan Renee Coghlan | Nurse Practitioner | 555 S State St, Syracuse, NY 13202-2280 | 2012-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947307 | Desiree Janell Darrisaw | Nurse Practitioner | 680 Tinton Ave Apt 7b, Bronx, NY 10455-2217 | 2020-06-24 |
| 1801323365 | Stacey Hope Rosman | Nurse Practitioner | 33 Mitchell Ave Ste 204, Binghamton, NY 13903-1642 | 2017-05-16 |
| 1760604128 | Terry Lee Harding | Nurse Practitioner | United Occupational Medicine, 33 Mitchell Ave #204, Binghamton, NY 13403 | 2007-05-03 |
| 1295828879 | Kevin Francis Brennan | Nurse Practitioner | 218 Stone St, Watertown, NY 13601 | 2006-10-02 |
| 1649212697 | Dante D Mastronardi | Nurse Practitioner | 229-231 State St Fl 4, Binghamton, NY 13901-2756 | 2006-06-12 |
| 1952374886 | Allison Jennett German | Nurse Practitioner | 1 Rudolph Rd., Walker Health Center Suny Oswego, Oswego, NY 13126 | 2006-02-10 |
| 1114537065 | Sarah Batschelet | Nurse Practitioner | 209 W State St, Ithaca, NY 14850-5489 | 2020-08-05 |
| 1396362042 | Sasha Winslow | Nurse Practitioner | 60 Madison Ave Fl 5, New York, NY 10010-1600 | 2020-06-29 |
| 1184186595 | Joyce Ellen Hyatt | Nurse Practitioner | 36 Meadow Dr, Big Flats, NY 14814-7948 | 2019-04-03 |
| 1801353784 | Balog Nurse Practitioner In Family Health Pllc | Nurse Practitioner | 254 Church St, Saratoga Springs, NY 12866-1037 | 2019-02-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.