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Contact Information

NICOLE AFONSO, PA
100 PORT WASHINGTON BLVD
ROSLYN, NY11576-1347
 Phone: 516-469-0682
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for NICOLE AFONSO · (Female)

NPI # 1568894160
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 08/06/2013
Last updated 06/04/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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