Provider Demographics
NPI:1063507390
Name:AFFLITTO, LORRAINE SUSAN (NP)
Entity Type:Individual
Prefix:MS
First Name:LORRAINE
Middle Name:SUSAN
Last Name:AFFLITTO
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:2265 OCEAN PARKWAY
Mailing Address - Street 2:APT 6B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223
Mailing Address - Country:US
Mailing Address - Phone:718-382-5758
Mailing Address - Fax:212-832-3990
Practice Address - Street 1:260 EAST 66TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-593-1818
Practice Address - Fax:212-832-3990
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NYF3026281363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health