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Allison Tyska-pettersen
Specialist in Medford, New York
NPI 1093077737

Allison Tyska-pettersen is a Specialist based in Riverhead, NY. Allison Tyska-pettersen practices in Medford, NY. The NPI Number for Allison Tyska-pettersen is 1093077737 and holds a License No. 1751576 (New York).

The current practice location address for Allison Tyska-pettersen is 1 Scouting Blvd, Medford, NY and can be reached out via phone at 631-297-3200.

Location: 1 Scouting Blvd, Medford, NY, 11901-2904
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093077737
Provider Name
Allison Tyska-pettersen
Credential
Provider Entity Type
Individual
Gender
Female
Address
1 Scouting Blvd, Medford, NY, 11901-2904
Phone Number
631-297-3200
Fax Number
Provider Enumeration Date
06/08/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1 Scouting Blvd
City
Medford
State
New York
Zip
11763-2220
Phone Number
631-297-3200
Fax Number
person
Provider Business Mailing Address Details
Address
1 Scouting Blvd
City
Medford
State
New York
Zip
11763-2220
Phone Number
631-297-3200
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
1751576 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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