National Provider Identifier
Stacie Quain Dziwulski, FAMILY PEER ADVOCATE
Stacie Quain Dziwulski, FAMILY PEER ADVOCATE is listed in the NPPES registry with a primary specialty of Peer Specialist in Buffalo, NY and a listed phone number of (716) 471-5307.
Profile Overview
- NPI
- 1396493896
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- March 14, 2022
- Last Updated
- March 14, 2022
Practice Location
- 1021 Broadway St
- Buffalo, NY 14212-1460
Phone: (716) 471-5307
Specialties
- Peer Specialist (175T00000X)
Full Record
- NPI
- 1396493896
- Entity Type
- Individual
- Last Name
- Dziwulski
- First Name
- Stacie
- Middle Name
- Quain
- Credential
- FAMILY PEER ADVOCATE
- Mailing Street Address
- 1021 Broadway St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14212-1460
- Mailing Country
- US
- Mailing Phone
- (716) 471-5307
- Practice Street Address
- 1021 Broadway St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14212-1460
- Practice Country
- US
- Practice Phone
- (716) 471-5307
- Enumeration Date
- March 14, 2022
- Last Updated
- March 14, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 11, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X)