Provider Demographics
NPI:1689621385
Name:LADUCA, CELINE M (PNP)
Entity Type:Individual
Prefix:MS
First Name:CELINE
Middle Name:M
Last Name:LADUCA
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:CELINE
Other - Middle Name:M
Other - Last Name:DUMONT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2875 UNION RD
Mailing Address - Street 2:SUITE 21
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14227-1470
Mailing Address - Country:US
Mailing Address - Phone:716-706-2034
Mailing Address - Fax:716-706-2035
Practice Address - Street 1:HARRY AUSTIN SCHOOL 97
Practice Address - Street 2:SISTERS HOSPITAL SCHOOL HEALTH CLINIC
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14211-3337
Practice Address - Country:US
Practice Address - Phone:716-816-4462
Practice Address - Fax:716-897-8158
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF380522363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner