Provider Demographics
NPI:1982372082
Name:QUIERY CERTIFIED REGISTERED NURSE ANESTHETIST
Entity type:Organization
Organization Name:QUIERY CERTIFIED REGISTERED NURSE ANESTHETIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRNA
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:QUIERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-356-4590
Mailing Address - Street 1:24 OLD WOOD RD
Mailing Address - Street 2:
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11790-1028
Mailing Address - Country:US
Mailing Address - Phone:631-356-4590
Mailing Address - Fax:
Practice Address - Street 1:24 OLD WOOD RD
Practice Address - Street 2:
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11790-1028
Practice Address - Country:US
Practice Address - Phone:631-356-4590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty