Healthcare Provider Details

I. General information

NPI: 1225690266
Provider Name (Legal Business Name): AFUA GYAMFI FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2019
Last Update Date: 11/27/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 EASTCHESTER RD
BRONX NY
10461-2301
US

IV. Provider business mailing address

138 HUNTS BRIDGE RD APT 1
YONKERS NY
10704-3153
US

V. Phone/Fax

Practice location:
  • Phone: 718-904-3492
  • Fax:
Mailing address:
  • Phone: 347-216-8808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF343762
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: