Nicole Marie Russo
MSN, RN, CCRN, CPNP | Nurse Practitioner
Hsc T11-020, Stony Brook
New York, 11794-0001
516-306-6989
Nicole Marie Russo is a Stony Brook, New York based nurse practitioner who is specialized as Nurse Practitioner nurse. 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 with specialization in Nurse Practitioner 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.
| Name: | Nicole Marie Russo |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | MSN, RN, CCRN, CPNP |
| Practice Address: | Hsc T11-020, Stony Brook,
New York, 11794-0001 |
| Phone: | 516-306-6989 |
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: | 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:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.