Healthcare Provider Details

I. General information

NPI: 1598208506
Provider Name (Legal Business Name): JANET ARLENE AFONSO CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANET ARLENE FERRINO CRNA

II. Dates (important events)

Enumeration Date: 11/22/2016
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 LAFAYETTE AVE
SUFFERN NY
10901-4812
US

IV. Provider business mailing address

233 LAFAYETTE AVE STE LL5
SUFFERN NY
10901-5620
US

V. Phone/Fax

Practice location:
  • Phone: 845-357-5775
  • Fax: 845-357-5777
Mailing address:
  • Phone: 845-357-5775
  • Fax: 845-357-5777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number548503-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number548503
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: