Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Afix Famosa

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1407237647

Mr. Afix Famosa is a Nurse Practitioner in Syracuse, New York. Qualified in 2015, 11 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

4443 Cleveland Rd
Syracuse, NY 13215-2419
Phone: (347) 257-6706
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Nurse Practitioner (primary) Taxonomy 363LC1500X · Licence 320092 (NY)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 404140 (NY)

Record details

NPI number1407237647
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 12, 2015
Last updated in NPPESApril 15, 2024
Certification dateApril 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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