Search › New York › 111N00000X
Shane Wend
NPI 1053032433 · on the registry since 2022
Practice
- Address
- 21 Main St
Stony Brook, NY 11790 - Phone
- (631) 485-3643
- Fax
- (631) 485-3643
- Organisation at this address
- Wend Wellness Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-18
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