OrganizationActive
Southside Faculty Medical Affiliates University Faculty Practice Corp
NPI 1033791058 · Body Imaging Physician · Seaford, NY
Provider details
- NPI number
- 1033791058
- Entity type
- Organization
- Primary specialty
- Body Imaging PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michele Cusack, Executive Vice President & Cfo(516) 321-6058
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1220 Hicksville Rd
Seaford, NY 11783-1604
Phone: (516) 266-3456
Fax: (516) 266-3490
Street-level locationGet directions
Mailing address
2000 Marcus Ave
New Hyde Park, NY 11042-1069
Additional practice locations (1)
- 1421 3rd AveNew York, NY 10028-1802Phone: (212) 744-5538Fax: (212) 744-4767
Registry dates
- Enumerated
- 2021-04-28
- Last updated
- 2026-01-06
- Certified
- 2026-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.