MEDICARE: MS. IDALINA SUZANNE AFOPA FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	F337860	NY

General Provider Information

NPI Number	:	1477977536
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. IDALINA SUZANNE AFOPA FNP

Provider Business Mailing Address
First Line	:	494 19TH ST APT 2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-6209
Country	:	US
Telephone Number	:	718-584-9000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 PENN PLZ
Second Line	:	SUITE 725
City	:	NEW YORK
State	:	NY
Zip	:	10119-0002
Country	:	US
Telephone Number	:	212-216-6400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2014
Last Update Date	:	02/20/2026

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