Individual
ELLIOTT BENNETT-GUERRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
STONY BROOK ANESTHESIOLOGY UFPC STONY, HEALTH SCIENCE CENTER LEVEL 4, #060, STONY BROOK, NY 11794-8480
(631) 444-2975
(631) 444-2907
Mailing address
PO BOX 1554, STONY BROOK, NY 11790-0988
(631) 444-2975
(631) 444-2907
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
95-00828
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89134W4
—
NC
Enumeration date
10/23/2006
Last updated
08/24/2015
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