Nicole Marie Russo is a Stony Brook, New York based nurse practitioner. Active license number of Nicole Marie Russo is 393742 for Pediatrics in New York. Her current practice location is Hsc T11-020, Stony Brook. Patients can reach her at 516-306-6989. Nicole Marie Russo is MSN, RN, CCRN, CPNP and her NPI number (Unique professional ID assigned by NPPES) is 1518859545. Nicole Marie Russo has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Nicole Marie Russo speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
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:
1518859545
NPI Enumeration Date:
15 Jul, 2025
NPI Last Update On:
25 Jul, 2025
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicole Marie Russo are as mentioned below.
License Number
Specialization
State
Status
393742
Pediatrics
New York
Primary
776987
Registered Nurse
New York
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Nicole Marie Russo 75 S Saxon Ave, Bay Shore, New York
Zip:
11706-8951
Phone Number:
516-306-6989
Patients can reach Nicole Marie Russo at Hsc T11-020, Stony Brook, New York or can call to book an appointment on 516-306-6989.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.