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SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
NPI 1033791058
Radiology - Body Imaging in Seaford, NY

Active since April 28, 2021
1220 HICKSVILLE RD, SEAFORD, NY 11783(516) 266-3456(516) 266-3490 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 6, 2026, Jun 26, 2025, Jul 23, 2021 and 1 more (4 updates tracked since 2021).

About Southside Faculty Medical Affiliates University Faculty Practice Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP (NPI 1033791058) is a healthcare organization registered as a body imaging in Seaford, New York and active in the NPI registry since April 2021. The organization maintains a secondary practice location in New York and lists Michele L Cusack, Executive Vice President & Cfo, as its authorized official.

NPPES Registry Identity

NPI1033791058
Entity TypeOrganization
Primary Taxonomy2085B0100X
Legal Business NameSOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
Location Address1220 HICKSVILLE RDSeaford, NY 11783-1604
Mailing Address2000 Marcus AveNew Hyde Park, NY 11042-1069 · (516) 266-3456 · Fax (516) 266-3490
Phone(516) 266-3456
Fax(516) 266-3490
Organization SubpartNo
Authorized OfficialMichele L CusackExecutive Vice President & Cfo · (516) 321-6058
Enumeration DateApril 28, 2021
Last NPPES UpdateJanuary 6, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2026
✔ NPI 1033791058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Body ImagingAllopathic & Osteopathic Physicians
Taxonomy Code2085B0100X
Definition

A Radiology doctor of Osteopathy that specializes in Body Imaging.

1220 HICKSVILLE RD, Seaford, NY 11783
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Secondary Practice Location 1

Location 11421 3rd AveNew York, NY 10028-1802 · Phone (212) 744-5538 · Fax (212) 744-4767

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southside Faculty Medical Affiliates University Faculty Practice Corp's NPI number?

The NPI number for Southside Faculty Medical Affiliates University Faculty Practice Corp is 1033791058. It was assigned to this organization in the NPPES registry on April 28, 2021.

Where is Southside Faculty Medical Affiliates University Faculty Practice Corp located?

Southside Faculty Medical Affiliates University Faculty Practice Corp is located at 1220 Hicksville Rd, Seaford, NY 11783. The listed phone number is (516) 266-3456.

What is Southside Faculty Medical Affiliates University Faculty Practice Corp's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Body Imaging, with taxonomy code 2085B0100X.

When was this NPI record last updated?

The NPPES record for Southside Faculty Medical Affiliates University Faculty Practice Corp was last updated on January 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.