SHELLY STEPHENS GROENENDYK

PORT JEFFERSON, NY
NPI1083060917
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: NY  329018)
Additional Taxonomies207L00000X Anesthesiology
(Licence: UT  10516430-1205)
207L00000X Anesthesiology
(Licence: TN  63603)
Enumeration Date2016-05-10
Last Update Date2024-11-03
Business Address
SHELLY STEPHENS GROENENDYK MD
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2190
Phone number: 516-382-7399
Mailing Address
SHELLY STEPHENS GROENENDYK MD
25 ROCKY HILL RD
MOUNT SINAI, NY 11766-1213
Phone number: 801-205-1033