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

Phelps Faculty Medical Affiliates University Faculty Practice Corpor

Organization Pediatrics Physician · NPI 1912853722

Phelps Faculty Medical Affiliates University Faculty Practice Corpor is a Pediatrics Physician in Nanuet, New York. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

25 Smith St Ste 210
Nanuet, NY 10954-2971
Phone: (845) 623-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1912853722
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sharlene Bronstorph — Director · (516) 850-3999
NPI enumeratedMarch 5, 2026
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026
Mailing address25 Smith St Ste 210, Nanuet, NY 10954-2971

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