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

Southside Faculty Medical Affiliates University Faculty Practice Corp

Organization Body Imaging Physician · NPI 1033791058

Southside Faculty Medical Affiliates University Faculty Practice Corp is a Body Imaging Physician in Seaford, New York. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1220 Hicksville Rd
Seaford, NY 11783-1604
Phone: (516) 266-3456
Fax: (516) 266-3490
Show map & directions

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

Additional practice locations (1)

  • 1421 3rd Ave, New York, NY 10028-1802 — (212) 744-5538

Specialties & licences

Body Imaging Physician (primary) Taxonomy 2085B0100X

Record details

NPI number1033791058
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michele Cusack — Executive Vice President & Cfo · (516) 321-6058
NPI enumeratedApril 28, 2021
Last updated in NPPESJanuary 6, 2026
Certification dateJanuary 6, 2026
Mailing address2000 Marcus Ave, New Hyde Park, NY 11042-1069