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General NPI Number Information
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NPI Number | 1679418255
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Entity Type | Organization
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Legal Business Name | NORTH SHORE FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRAC
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/23/2026
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Provider Practice Location Address
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Address Line | 300 COMMUNITY DR
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City | MANHASSET
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State | NY
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Zip | 11030-3816
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Country | US
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Telephone | 516-222-0722
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Fax | 888-987-7994
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Provider Business Mailing Address
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Address Line | 972 BRUSH HOLLOW RD
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City | WESTBURY
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State | NY
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Zip | 11590-1740
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Country | US
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Telephone | 516-457-7523
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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