Stephan Nickolas Deturris
Nurse Anesthetist, Certified Registered in Stony Brook, NY. Individual provider (NPI-1).
NPI number1538059464
StatusActive
Last updated in NPPESSep 8, 2025
Details
- NPI
- 1538059464
- Entity type
- Individual (NPI-1)
- Name
- Stephan Nickolas Deturris
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 3, 2025
- Certification date
- Sep 8, 2025
- Last updated
- Sep 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 734070-01 | NY | Yes |
Practice location
101 Nicolls RdStony Brook, NY 11794-0001
Phone 631-638-3700
Mailing address
Po Box 26Commack, NY 11725-0026
Phone 631-745-9998
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All 30 Certified Registered Nurse Anesthetist providers in Stony Brook · All 3,268 providers in Stony Brook
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