Russo, Christine Elizabeth

Russo, Christine Elizabeth is an sole proprietor health care provider with primary practice located at 101 Nicolls Rd , Stony Brook NY 11794-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Russo, Christine Elizabeth can be contacted via phone (631) 682-3289.

Contact Information

Primary practice address
101 Nicolls Rd Stony Brook NY 11794-0001
Phone: (631) 682-3289
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 383362 New York

Profile Details

NPI number 1720738263
LBN Legal business name Russo, Christine Elizabeth
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2022
Last updated Mar 27th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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