Individual provider · Type 1 NPI

Nicole Russo-Duca

Specialist · Ronkonkoma, NY

NPI number 1295650596 Active

Practice location

181 Sioux St
Ronkonkoma, NY 11779-3541

Call (347) 382-0551 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1295650596

Nicole Russo-Duca's National Provider Identifier is 1295650596, issued on Aug 13, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Ronkonkoma, NY. The record was last updated on Aug 13, 2026.