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Esau Cruz Gutierrez
Dental Clinic/Center in Stony Brook, New York
NPI 1275289357

Esau Cruz Gutierrez is a Dental Clinic/Center based in Port Jefferson Station, NY and is specialized in Dental. Esau Cruz Gutierrez practices in Stony Brook, NY. The NPI Number for Esau Cruz Gutierrez is 1275289357 and holds a License No. (New York).

The current practice location address for Esau Cruz Gutierrez is Suny At Stony Brook At Stony Brook 151 Westchester Hall, Stony Brook, NY and can be reached out via phone at 845-857-7574.

Location: Suny At Stony Brook At Stony Brook 151 Westchester Hall, Stony Brook, NY, 11776-4314
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275289357
Provider Name
Esau Cruz Gutierrez
Credential
Provider Entity Type
Individual
Gender
Male
Address
Suny At Stony Brook At Stony Brook 151 Westchester Hall, Stony Brook, NY, 11776-4314
Phone Number
845-857-7574
Fax Number
Provider Enumeration Date
02/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Suny At Stony Brook At Stony Brook 151 Westchester Hall
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
845-857-7574
Fax Number
person
Provider Business Mailing Address Details
Address
Suny At Stony Brook At Stony Brook 151 Westchester Hall
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
845-857-7574
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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