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General NPI Number Information
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NPI Number | 1841132511
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Entity Type | Organization
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Legal Business Name | HUNTINGTON FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRACTICE COR
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Dates
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Enumeration Date | 04/09/2026
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Last Update Date | 04/09/2026
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Provider Practice Location Address
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Address Line | 533 ROUTE 111
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City | HAUPPAUGE
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State | NY
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Zip | 11788-4350
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Country | US
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Telephone | 631-366-1788
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Fax | 631-366-1821
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Provider Business Mailing Address
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Address Line | 533 ROUTE 111
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City | HAUPPAUGE
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State | NY
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Zip | 11788-4350
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Country | US
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Telephone | 631-366-1788
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Fax | 631-366-1821
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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