Southside Faculty Medical Affiliates University Faculty Practice Corp

NPI #1033791058 in Seaford, New York

Provider Information

NPI Number: 1033791058
Entity Type: Organization
Organization Name: Southside Faculty Medical Affiliates University Faculty Practice Corp
Primary Specialty: Radiology - Body Imaging
Enumeration Date: Apr 28, 2021
Last Updated: Jan 6, 2026

Practice Location

Address: 1220 HICKSVILLE RD
City: Seaford
State: New York
ZIP Code: 11783-1604
Phone: (516) 266-3456

Authorized Official

Name: MRS. MICHELE L CUSACK
Title: EXECUTIVE VICE PRESIDENT & CFO
Phone: (516) 321-6058

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiology - Body Imaging — Body Imaging	2085B0100X	Primary

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