Provider Demographics
NPI:1891682407
Name:NSUH SOUTH BEACH PHYSICIANS UFP CORPORATION
Entity type:Organization
Organization Name:NSUH SOUTH BEACH PHYSICIANS UFP CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:SHARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRONSTORPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-719-5755
Mailing Address - Street 1:420 LYNDALE AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-6131
Mailing Address - Country:US
Mailing Address - Phone:718-967-5630
Mailing Address - Fax:718-967-5638
Practice Address - Street 1:420 LYNDALE AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-6131
Practice Address - Country:US
Practice Address - Phone:718-967-5630
Practice Address - Fax:718-967-5638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty