Shelly L Stradley in Johnson City - Family Medicine
Shelly L Stradley - NPI 1952397689
Shelly L Stradley is a Family Medicine in Johnson City, New York. Shelly L Stradley practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Shelly L Stradley is 1952397689. The last update date is 2014-02-04.
Shelly L Stradley's current location address is 346 Grand Ave, Johnson City, New York. You can contact this provider via phone number 6074674195 and fax number 6074674194. The mailing address for Shelly L Stradley is 346 Grand Ave, Johnson City, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelly L Stradley |
|---|---|
| Address | 346 Grand Ave, Johnson City, New York |
| Phone Number | 6074674195 |
| Fax Number | 6074674194 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1952397689 |
|---|---|
| Provider Enumeration Date | 2005-09-27 |
| Last Updated Date | 2014-02-04 |
Provider Mailing Address Detail
| Address | 346 Grand Ave |
|---|---|
| City | Johnson City |
| State | New York (NY) |
| Post Code | 137902580 |
| Phone Number | 6074674195 |
| Fax Number | 6074674194 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 228759 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2426364 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Shelly L Stradley by the Centers for Medicare & Medicaid Services?
The Shelly L Stradley has been assigned the NPI (National Provider Identifier) 1952397689 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Shelly L Stradley is physically located?
The Shelly L Stradley is physically situated at the following address: 346 Grand Ave, Johnson City, NY, 137902580.
What is the Shelly L Stradley's specialty and taxonomy code?
The Shelly L Stradley's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Shelly L Stradley receive its 1952397689 assignment from the Centers for Medicare & Medicaid Services?
The Shelly L Stradley was assigned its 1952397689 by the Centers for Medicare & Medicaid Services on 2005-09-27.
As of what date were the details related to Shelly L Stradley most recently updated or revised?
The information pertaining to Shelly L Stradley, including its address, specialty, and other relevant details, was last updated or revised on 2014-02-04.