Search › New York › 133V00000X
Shane Dudley, RDN
NPI 1740008366 · on the registry since 2024
Practice
- Address
- 133 Pratt St
Watertown, NY 13601 - Phone
- (315) 785-4532
- Organisation at this address
- Samaritan Keep Nursing Home Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-02
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