Groenendyk, Shelly Stephens
Groenendyk, Shelly Stephens is an individual health care provider with primary practice located at 75 N Country Rd , Port Jefferson NY 11777-2190. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Groenendyk, Shelly Stephens can be contacted via phone (516) 382-7399.Contact Information
Primary practice address
75 N Country Rd
Port Jefferson NY 11777-2190
Phone: (516) 382-7399
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 10516430-1205 | Utah |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 63603 | Tennessee |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 329018 | New York |
Profile Details
| NPI number | 1083060917 |
|---|---|
| LBN Legal business name | Groenendyk, Shelly Stephens |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2016 |
| Last updated | Nov 3rd, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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