Individual
STEPHEN QUIERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
24 OLD WOOD RD, STONY BROOK, NY 11790-1028
(631) 356-4590
Mailing address
24 OLD WOOD RD, STONY BROOK, NY 11790-1028
(631) 356-4590
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
11010505
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
716223
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/19/2020
Last updated
07/14/2021
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