Search › New York › 207L00000X
Shelly Groenendyk, MD
NPI 1083060917 · on the registry since 2016
Practice
- Address
- 75 N Country Rd
Port Jefferson, NY 11777 - Phone
- (516) 382-7399
- Organisation at this address
- Port Radiation Therapy Pc
Professional Radiology Pc
Harbor View Medical Services Pc
John T Mather Memorial Hospital
John T Mather Memorial HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 328
Additional practice sites
- 3601 The Vanderbilt Clinic, Nashville, TN
- 3601 The Vanderbilt Clinic, Nashville, TN
Registry record
- Primary taxonomy
- 207L00000X
207L00000X
- Also registered as
- 207L00000X
207L00000X - Licence states on file
- UT, TN, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York