SearchNew York235Z00000X

Shannon Weller, MA

NPI 1285140962 · on the registry since 2017 · sole proprietor

Practice

Address
252 Islip Ave
Islip, NY 11751
Phone
(631) 581-6800
Organisation at this address
Kids In Action
Kids In Action Of L.I. Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
49

Additional practice sites

  • 2501 Milburn Ave, Baldwin, NY

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-11-14

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