Individual
STEPHAN NICKOLAS DETURRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 638-3700
Mailing address
PO BOX 26, COMMACK, NY 11725-0026
(631) 745-9998
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
734070-01
NY
Other
Enumeration date
07/03/2025
Last updated
09/08/2025
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