| Christine Elizabeth Russo, CPNP-PC | |
| 
					101 Nicolls Rd, Stony Brook, NY 11794-0001  | |
| (631) 682-3289 | |
| Not Available | 
| Full Name | Christine Elizabeth Russo | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Pediatrics | 
| Location | 101 Nicolls Rd, Stony Brook, New York | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1720738263 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 383362 (New York) | Primary | 
| Entity Name | Boston Children's Health Physicians Llp | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1467454967 PECOS PAC ID: 8325937014 Enrollment ID: O20040311000864  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Christine Elizabeth Russo, CPNP-PC 136 Windward Dr, Port Jefferson, NY 11777-2331 Ph: (631) 682-3289  | Christine Elizabeth Russo, CPNP-PC 101 Nicolls Rd, Stony Brook, NY 11794-0001 Ph: (631) 682-3289  | 
Mrs. Heather Marie Caligiuri, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-631-4449  | |
Mr. Sam Tarik Mendoune I, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-335-1657  | |
Kevin Ramdeen, AGPCNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-312-6354  | |
Ms. Marisa Ann Armstrong, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-689-8333  | |
Mrs. Patricia B Meyer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1212 Route 25a, Stony Brook, NY 11790 Phone: 631-941-1388 Fax: 631-689-3993  | |
Mrs. Marie Oquendo-miller, MSNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Stadium Road, Stony Brook, NY 11794 Phone: 631-632-6738 Fax: 631-632-6936  | |
Mrs. Joanne M Camarda, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd Fl Hsc11, Stony Brook, NY 11794 Phone: 631-444-7720 Fax: 631-444-7865  |