Lauren Nicole Russo, | |
49 Sejon Dr, Sayville, NY 11782-3226 | |
(631) 317-3614 | |
Not Available |
Full Name | Lauren Nicole Russo |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 49 Sejon Dr, Sayville, 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 |
---|---|---|---|
1780435891 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 353391 (New York) | Primary |
Entity Name | Stony Brook Internists University Faculty Practice Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821035601 PECOS PAC ID: 9133019821 Enrollment ID: O20040416000248 |
Mailing Address | Practice Location Address |
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Lauren Nicole Russo, 49 Sejon Dr, Sayville, NY 11782-3226 Ph: (631) 317-3614 | Lauren Nicole Russo, 49 Sejon Dr, Sayville, NY 11782-3226 Ph: (631) 317-3614 |
Justina M Eckley, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 285 W Main St Ste 104, Sayville, NY 11782 Phone: 631-563-8190 | |
Gabriella Bereczky, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 49 Easy St, Sayville, NY 11782 Phone: 631-579-1867 | |
Glenn Donatelli, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 43 Broadway Ave, Sayville, NY 11782 Phone: 631-398-8568 | |
Ms. Jennifer Rosenstein, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 160 Middle Rd, Sayville, NY 11782 Phone: 631-589-4747 | |
Colleen Ann Klein, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 303 Johnson Ave, Sayville, NY 11782 Phone: 631-300-7265 | |
Miss Gabrielle Herard, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 160 Middle Rd, Sayville, NY 11782 Phone: 917-687-4762 |