Active NPIIndividual provider

Desiree Stuckey

Specialist in Staten Island, New York

NPI Number1609734300
Practice location
1250 Hylan Blvd Ste 9B1, Staten Island, NY 10305-1945
Fax
—
Last updated
January 12, 2026

Desiree Stuckey is a Specialist based in Staten Island, NY. Desiree Stuckey practices in Staten Island, NY. The NPI Number for Desiree Stuckey is 1609734300. The current practice location address for Desiree Stuckey is 1250 Hylan Blvd Ste 9B1, Staten Island, NY 10305-1945 and can be reached out via phone at 917-397-8947.

Provider Profile Details

NPI Number
1609734300
Provider Name
Desiree Stuckey
Provider Entity Type
Individual
Gender
Female
Address
1250 Hylan Blvd Ste 9B1, Staten Island, NY 10305-1945
Phone Number
917-397-8947
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
No
Provider Enumeration Date
January 12, 2026
Last Update Date
January 12, 2026
Certification Date
January 12, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1250 Hylan Blvd Ste 9B1
Staten Island, NY 10305-1945
Zip
10305-1945
Phone Number
917-397-8947
Staten Island, NY 10305Get directions →

Provider Business Mailing Address Details

Address
33 Home Pl
Staten Island, NY 10302-2425
City
Staten Island
State
NY
Zip
10302-2425
Phone Number
917-842-2038

License Information

License State
NY
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Desiree Stuckey?

The NPI number of Desiree Stuckey is 1609734300. It was assigned on January 12, 2026 and is currently active in the NPPES registry.

What is the specialty of Desiree Stuckey?

Desiree Stuckey is registered under the primary taxonomy Specialist (code 174400000X).

Where does Desiree Stuckey practice?

The practice location is 1250 Hylan Blvd Ste 9B1, Staten Island, NY 10305-1945. The office can be reached at 917-397-8947 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609734300 directly on the NPPES registry website.

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