CHRISTINE ELIZABETH RUSSO

STONY BROOK, NY
NPI1720738263
Former NameCHRISTINE NASTASI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0200X Nurse Practitioner Pediatrics
(Licence: NY  383362)
Enumeration Date2022-03-27
Last Update Date2022-03-27
Business Address
CHRISTINE ELIZABETH RUSSO CPNP-PC
101 NICOLLS RD
STONY BROOK, NY 11794-0001
Phone number: 631-682-3289
Mailing Address
CHRISTINE ELIZABETH RUSSO CPNP-PC
136 WINDWARD DR
PORT JEFFERSON, NY 11777-2331
Phone number: 631-682-3289
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