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SHELLY L STRADLEY DO
NPI 1952397689
Family Medicine in Deposit, NY

Active since September 27, 2005
53 PINE ST, DEPOSIT, NY 13754(607) 467-4195(607) 467-4194 Get Directions Write a Review

NPPES record last updated: February 4, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shelly L Stradley Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELLY L STRADLEY DO (NPI 1952397689) is an individual family medicine provider in Deposit, New York, licensed in New York (228759) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1952397689
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHELLY L STRADLEYCredential: DO
Location Address53 PINE STDeposit, NY 13754-1301
Mailing Address346 Grand AveJohnson City, NY 13790-2580 · (607) 467-4195 · Fax (607) 467-4194
Phone(607) 467-4195
Fax(607) 467-4194
Sole ProprietorNo
Enumeration DateSeptember 27, 2005
Last NPPES UpdateFebruary 4, 2014
✔ NPI 1952397689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 228759
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 is not limited by age, sex, organ system, or disease entity.
53 PINE ST, Deposit, NY 13754
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Other Identifiers 4

Medicare UPINH89622
Medicaid02426364NY
Medicare PINDD6431NY
Medicare PINRA7380NY

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFFANY J GATES-MABY PA
Physician Assistant
53 PINE ST
DEPOSIT, NY 13754
Broome County (607) 467-4195
LACEY DIEMER NP
Nurse Practitioner (Family)
53 PINE ST
DEPOSIT, NY 13754
Broome County (607) 467-4195
SARAH RUNYON FNP
Nurse Practitioner (Family)
53 PINE ST
DEPOSIT, NY 13754
Broome County (607) 467-4195
JEANNE-MARIE FIRPO
Nurse Practitioner
53 PINE ST
DEPOSIT, NY 13754
Broome County (607) 467-4195
KRISTINA J MARKS CSW
Social Worker (Clinical)
53 PINE ST
DEPOSIT, NY 13754
Broome County (607) 467-4195
JOHN GIANNONE MD
Family Medicine
53 PINE ST, DEPOSIT FAMILY CARE CENTER
DEPOSIT, NY 13754
Broome County (607) 467-4195

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelly Stradley's NPI number?

The NPI number for Shelly Stradley is 1952397689. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Where is Shelly Stradley located?

Shelly Stradley practices at 53 Pine St, Deposit, NY 13754. The listed phone number is (607) 467-4195.

What is Shelly Stradley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Shelly Stradley was last updated on February 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.