Dutka, Stacey L

Dutka, Stacey L is an individual health care provider with primary practice located at 2545 Sheridan Dr , Tonawanda NY 14150-9478. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Dutka, Stacey L can be contacted via phone (716) 833-4884.

Contact Information

Primary practice address
2545 Sheridan Dr Tonawanda NY 14150-9478
Phone: (716) 833-4884
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 817398 New York

Profile Details

NPI number 1104187350
LBN Legal business name Dutka, Stacey L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2012
Last updated Jun 5th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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