Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Stacey L Dutka

Individual provider Specialist · NPI 1104187350

Mrs. Stacey L Dutka is a Specialist in Tonawanda, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
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Practice location Address checks out

2545 Sheridan Dr
Tonawanda, NY 14150-9478
Phone: (716) 833-4884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 817398 (NY)

Record details

NPI number1104187350
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 5, 2012
Last updated in NPPESJune 5, 2012

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