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NPI Code Detail

MEDICARE: ROBERT LA DUCA MD

MEDICARE:   ROBERT  LA DUCA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician111366NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144295056
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT LA DUCA MD
Provider Business Mailing Address
First Line : 4535 SOUTHWESTERN BLVD
Second Line : UNIT 202
City : HAMBURG
State : NY
Zip : 14075-1860
Country : US
Telephone Number : 716-662-2595
Fax Number : 716-662-0112
Provider Business Practice Location Address
First Line : 4535 SOUTHWESTERN BLVD
Second Line : UNIT 202
City : HAMBURG
State : NY
Zip : 14075-1860
Country : US
Telephone Number : 716-662-2595
Fax Number : 716-662-0112
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2006
Last Update Date : 04/12/2026

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Directions to “ ROBERT LA DUCA MD” Practice Location

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