Healthcare Provider Details

I. General information

NPI: 1235052325
Provider Name (Legal Business Name): DARLENE DUTKO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 NORTH ST
WALTON NY
13856-1306
US

IV. Provider business mailing address

24042 STATE HIGHWAY 28
DELHI NY
13753-7430
US

V. Phone/Fax

Practice location:
  • Phone: 607-865-5220
  • Fax: 607-865-9211
Mailing address:
  • Phone: 607-338-2667
  • Fax: 607-865-9211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number439721-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: