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

Phelps Faculty Medical Affiliates University Faculty Practice Corpor

Organization Pediatrics Physician · NPI 1912853722

Phelps Faculty Medical Affiliates University Faculty Practice Corpor provides Pediatrics Physician services 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
Show map & directions

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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