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Christine Elizabeth Russo, CPNP-PC
Pediatric Nurse Practitioner in Stony Brook, New York
NPI 1720738263

Christine Elizabeth Russo is a Pediatric Nurse Practitioner based in Port Jefferson, NY and is specialized in Pediatrics. Christine Elizabeth Russo practices in Stony Brook, NY and has the professional credentials of CPNP-PC. The NPI Number for Christine Elizabeth Russo is 1720738263 and holds a License No. 383362 (New York).

The current practice location address for Christine Elizabeth Russo is 101 Nicolls Rd, Stony Brook, NY and can be reached out via phone at 631-682-3289.

Location: 101 Nicolls Rd, Stony Brook, NY, 11777-2331
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720738263
Provider Name
Christine Elizabeth Russo
Credential
CPNP-PC
Provider Entity Type
Individual
Gender
Female
Address
101 Nicolls Rd, Stony Brook, NY, 11777-2331
Phone Number
631-682-3289
Fax Number
Provider Enumeration Date
03/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Nicolls Rd
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-682-3289
Fax Number
person
Provider Business Mailing Address Details
Address
101 Nicolls Rd
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-682-3289
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
383362 (New York)
Definition
Definition to come...
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