Domenick Russo
Domenick Russo is an Acute Care Nurse Practitioner in Stony Brook, New York. Licensed in New York. Registered with an NPI since 2026.
- Licensed in
- NY
- In the registry since
- 2026
Practice location Address checks out
101 Nicolls RdStony Brook, NY 11794-0001
Phone: (631) 774-3491
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Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence 433662 (NY) |
|---|
Record details
| NPI number | 1871424309 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 26, 2026 |
| Last updated in NPPES | June 29, 2026 |
| Certification date | June 29, 2026 |
| Mailing address | 101 Nicolls Rd, Stony Brook, NY 11794-0001 |
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Katie Thomas, NP
101 Nicolls Rd, Stony Brook, NY 11794-0001 · (631) 689-8333
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