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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHELLY STEPHENS GROENENDYK, MD

Active

SHELLY STEPHENS GROENENDYK, MD is a Anesthesiology healthcare provider located in PORT JEFFERSON, New York. NPI 1083060917 is currently active in the NPPES registry. Verify at CMS.

Anesthesiology · PORT JEFFERSON, NY

Registration Details

NPI Number
1083060917
Provider Type
Individual
Gender
Female
NPI Issued
May 10, 2016 (10.265186296186 yrs)
Last Updated
Nov 3, 2024
Licenses
10516430-1205 (UT)
63603 (TN)
329018 (NY)

Practice Information

Address
75 N COUNTRY RD
PORT JEFFERSON, NY, 117772190
Browse NY providers · Browse ZIP 11777
Phone
5163827399
Primary Specialty
Anesthesiology
207L00000X
Additional Specialty
Anesthesiology
Additional Specialty
Anesthesiology

Other Anesthesiology Providers in PORT JEFFERSON, NY

Name Credential NPI
DR. JAMES BELL III MD/PHD 1457528143
DR. DANIEL FELDMAN MD 1174815591
AHSAN WAQAS M.D 1952853640
KARINA BRASLAVSKAYA 1821593591
BISMA MASROOR 1073074902
MICHELLE GARCIA MD 1861953481
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.