National Provider Identifier
Selena Stucke
Selena Stucke is listed in the NPPES registry with a primary specialty of Peer Specialist in Buffalo, NY and a listed phone number of (716) 884-5797.
Profile Overview
- NPI
- 1841089265
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- May 02, 2025
- Last Updated
- May 02, 2025
Practice Location
- 1298 Main St Fl 3
- Buffalo, NY 14209-1946
Phone: (716) 884-5797
Mailing Address
- 227 Thorn Avenue
- P.O Box 631
- Buffalo, NY 14209-1946
Specialties
- Peer Specialist (175T00000X)
Full Record
- NPI
- 1841089265
- Entity Type
- Individual
- Last Name
- Stucke
- First Name
- Selena
- Mailing Street Address
- 227 Thorn Avenue
- Mailing Address Line 2
- P.O Box 631
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14209-1946
- Mailing Country
- US
- Mailing Phone
- (716) 662-2040
- Mailing Fax
- (716) 662-0019
- Practice Street Address
- 1298 Main St Fl 3
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14209-1946
- Practice Country
- US
- Practice Phone
- (716) 884-5797
- Practice Fax
- (716) 882-0293
- Enumeration Date
- May 02, 2025
- Last Updated
- May 02, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 24, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X)