MRS. STACEY L DUTKA
NPI 1104187350
Specialist in Tonawanda, NY

Active since June 05, 2012
2545 SHERIDAN DR, TONAWANDA, NY 14150(716) 833-4884 Get Directions Write a Review

NPPES record last updated: June 5, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Stacey L Dutka NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. STACEY L DUTKA (NPI 1104187350) is an individual specialist in Tonawanda, New York, licensed in New York (817398) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1104187350
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMRS. STACEY L DUTKA
Location Address2545 SHERIDAN DRTonawanda, NY 14150-9478
Mailing Address2545 Sheridan DrTonawanda, NY 14150-9478 · (716) 833-4884
Sole ProprietorNo
Enumeration DateJune 5, 2012
NPI 1104187350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 817398
Definition

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.

2545 SHERIDAN DR, Tonawanda, NY 14150

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Endodontics)
2545 SHERIDAN DR
TONAWANDA, NY 14150
Speech-Language Pathologist
2545 SHERIDAN DR
TONAWANDA, NY 14150
Speech-Language Pathologist
2545 SHERIDAN DR
TONAWANDA, NY 14150
Speech-Language Pathologist
2545 SHERIDAN DR
TONAWANDA, NY 14150
Dentist (Endodontics)
2545 SHERIDAN DR
TONAWANDA, NY 14150
Case Manager/Care Coordinator
2545 SHERIDAN DR
TONAWANDA, NY 14150
Speech-Language Pathologist
2545 SHERIDAN DR
TONAWANDA, NY 14150
Speech-Language Pathologist
2545 SHERIDAN DR
TONAWANDA, NY 14150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Dutka's NPI number?

The NPI number for Stacey Dutka is 1104187350. It was assigned to this individual provider in the NPPES registry on June 5, 2012.

Where is Stacey Dutka located?

Stacey Dutka practices at 2545 Sheridan Dr, Tonawanda, NY 14150. The listed phone number is (716) 833-4884.

What is Stacey Dutka's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Stacey Dutka was last updated on June 5, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.