Organization · Type 2 NPI
Southside Faculty Medical Affiliates University Faculty Practice Corp
Body Imaging Physician · Seaford, NY
NPI number
1033791058
Active
Practice location
1220 Hicksville Rd
Seaford, NY 11783-1604
Fax (516) 266-3490
Mailing address
2000 Marcus Ave
New Hyde Park, NY 11042-1069
Other practice locations
- 1421 3rd Ave, New York, NY 10028-1802 · (212) 744-5538
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Body Imaging Physician Primary | 2085B0100X | None listed |
Body Imaging Physician: A Radiology doctor of Osteopathy that specializes in Body Imaging.
About NPI 1033791058
Southside Faculty Medical Affiliates University Faculty Practice Corp's National Provider Identifier is 1033791058, issued on Apr 28, 2021. The primary taxonomy on file is Body Imaging Physician (2085B0100X), and the practice location is in Seaford, NY. The record was last updated on Jan 6, 2026.