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

Mather Faculty Medical Affiliates, University Faculty Practice Corpora

Organization Family Nurse Practitioner · NPI 1578309670

Mather Faculty Medical Affiliates, University Faculty Practice Corpora is a Family Nurse Practitioner in Port Jefferson, New York. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

75 N Country Rd
Port Jefferson, NY 11777-2119
Phone: (631) 473-1320
Fax: (631) 473-7367
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1578309670
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ingrid McDowald — Nurse Practicioner · (631) 473-1320
NPI enumeratedJuly 8, 2024
Last updated in NPPESJuly 8, 2024
Certification dateJuly 8, 2024
Mailing address75 N Country Rd, Port Jefferson, NY 11777-2119

Other providers in Port Jefferson