Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Glen Cove Faculty Medical Affiliates, University Faculty Practice Corp

Organization Physician Assistant · NPI 1841036936

Glen Cove Faculty Medical Affiliates, University Faculty Practice Corp is a Physician Assistant in Glen Cove, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

101 Saint Andrews Ln
Glen Cove, NY 11542-2254
Phone: (516) 674-7300
Fax: (516) 674-7588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1841036936
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Prinzivalli — Administrator · (516) 674-7300
NPI enumeratedJuly 8, 2024
Last updated in NPPESJuly 8, 2024
Certification dateJuly 8, 2024
Mailing address101 Saint Andrews Ln, Glen Cove, NY 11542-2254

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