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

North Shore Faculty Medical Affiliates, University Faculty Practice Co

Organization Physician Assistant · NPI 1558107656

North Shore Faculty Medical Affiliates, University Faculty Practice Co is a Physician Assistant in Manhasset, New York. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

300 Community Dr
Manhasset, NY 11030-3816
Phone: (516) 562-0100
Fax: (516) 562-1395
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1558107656
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Corcoran — Physician Assistant · (516) 562-0100
NPI enumeratedJuly 8, 2024
Last updated in NPPESJuly 8, 2024
Certification dateJuly 8, 2024
Mailing address300 Community Dr, Manhasset, NY 11030-3816

Other providers in Manhasset