Individual
DR. JERRY CUENCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-2968
Mailing address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-2968
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
95701
SC
Other
Enumeration date
03/25/2020
Last updated
11/03/2025
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