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General NPI Number Information
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NPI Number | 1346198942
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Entity Type | Organization
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Legal Business Name | STATEN ISLAND FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRACTICE
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Dates
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Enumeration Date | 03/19/2026
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 1441 SOUTH AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10314-3779
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Country | US
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Telephone | 718-226-1582
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Fax | 718-227-5814
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Provider Business Mailing Address
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Address Line | 1441 SOUTH AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10314-3779
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | SHARLENE BRONSTORPH
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Credential |
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Telephone | 516-850-3999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RI0008X
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Taxonomy Name | Hepatology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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