Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Angela T Russo, MS, CNS

Individual provider Nutritionist · NPI 1942082649

MS. Angela T Russo, MS, CNS is a Nutritionist in Hauppauge, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
What do these letters mean?
MS — Master of Science
A graduate science degree.
CNS — Clinical Nurse Specialist
An advanced practice nurse specialising in a patient population or setting.

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Practice location Address checks out

73 Holiday Park Dr
Hauppauge, NY 11788-2107
Phone: (914) 274-1144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X (NY)

Record details

NPI number1942082649
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CNS
Sole proprietorYes
NPI enumeratedOctober 17, 2023
Last updated in NPPESOctober 17, 2023
Certification dateOctober 17, 2023