# MATHER FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRACTICE CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598607269
- **Authorized official:** SHARLENE BRONSTORPH (DIRECTOR)
- **Authorized official phone:** (516) 850-3999

## Contact information

- **Practice address:** 1500 ROUTE 112 BLDG 5, PORT JEFFERSON STATION, NY 11776-8055
- **Practice address phone:** (631) 828-3400
- **Practice address fax:** (631) 828-3244
- **Mailing address:** 101 NICHOLLS ROAD, STONY BROOK, NY 11794-0001
- **Mailing address phone:** (631) 689-8333
- **Mailing address fax:** (631) 751-5971

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/09/2026
- **Last updated:** 04/23/2026