Search › New York › 207R00000X
Shirley Ponnaiya, DO
NPI 1235870676 · on the registry since 2022
Practice
- Address
- 1 Heroes Way
Riverhead, NY 11901 - Phone
- (631) 506-4311
- Organisation at this address
- Peconic Bay Faculty Medical Affiliates, University Faculty Practice Co
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 89
Additional practice sites
- 100 Hospital Rd Ste 201, East Patchogue, NY
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 390200000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-20
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