Domenick Russo

Nurse Practitioner - Acute Care

101 Nicolls Rd, Stony Brook
  New York, 11794-0001
631-774-3491
May or may not accept Medicare Nurse Practitioner in Stony Brook, New York.
Domenick Russo is a Stony Brook, New York based nurse practitioner who is specialized as Acute Care NP. Active license number of Domenick Russo is 433662 for Acute Care NP in New York. His current practice location is 101 Nicolls Rd, Stony Brook. Patients can reach him at 631-774-3491 with specialization in Acute Care NP and his NPI number (Unique professional ID assigned by NPPES) is 1871424309.
Domenick Russo is a licensed independent practitioner and may autonomously provide care. He provides advanced nursing care across the continuum of health care services to meet the specialized physiologic and psychological needs of patients with acute, critical, and/or complex chronic health conditions. This care is continuous and comprehensive and may be provided in any setting where the patient may be found.
Complete Profile:
Domenick Russo speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Domenick Russo
Specialization: Nurse Practitioner - Acute Care (ACNP)
Gender:Male
Practice Address:101 Nicolls Rd, Stony Brook,
New York, 11794-0001
Phone:631-774-3491
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1871424309
NPI Enumeration Date: 26 May, 2026
NPI Last Update On: 29 Jun, 2026

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Domenick Russo are as mentioned below.
License NumberSpecializationStateStatus
433662Acute Care NP New YorkPrimary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Domenick Russo
101 Nicolls Rd,
Stony Brook, New York
Zip: 11794-0001
Patients can reach Domenick Russo at 101 Nicolls Rd, Stony Brook, New York or can call to book an appointment on 631-774-3491.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 July, 2026.