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Contact Information

MARC PELUSO, CRNA
101 NICOLLS RD
STONY BROOK, NY11794-0001
 Phone: 631-689-8333
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for MARC PELUSO · (Male)

NPI Number 1851691430
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 10/28/2010
Last updated 06/19/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 544166-1
Hospital affiliation(s)
  • SOUTHSIDE HOSPITAL - (Acute Care)
    301 EAST MAIN STREET
    BAY SHORE, NY 11706
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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