Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Glen Cove Faculty Medical Affiliates, University Faculty Practice Corp

Organization Physician Assistant · NPI 1841036936

Glen Cove Faculty Medical Affiliates, University Faculty Practice Corp provides Physician Assistant services in Glen Cove, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

101 Saint Andrews Ln
Glen Cove, NY 11542-2254
Phone: (516) 674-7300
Fax: (516) 674-7588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1841036936
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Prinzivalli — Administrator · (516) 674-7300
NPI enumeratedJuly 8, 2024
Last updated in NPPESJuly 8, 2024
Certification dateJuly 8, 2024
Mailing address101 Saint Andrews Ln, Glen Cove, NY 11542-2254

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