MEDICARE: MS. STEPHANIE NICOLE AFONSO

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	363A00000X	Physician Assistant		NY

General Provider Information

NPI Number	:	1518816081
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. STEPHANIE NICOLE AFONSO

Provider Business Mailing Address
First Line	:	4 EUNICE DR
Second Line	:
City	:	EAST NORTHPORT
State	:	NY
Zip	:	11731-5517
Country	:	US
Telephone Number	:	631-838-8567
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 EUNICE DR
Second Line	:
City	:	EAST NORTHPORT
State	:	NY
Zip	:	11731-5517
Country	:	US
Telephone Number	:	631-838-8567
Fax Number	:

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

Provider Enumeration Date	:	01/27/2026
Last Update Date	:	02/18/2026

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