ALLISON TYSKA-PETTERSEN
NPI 1093077737
Specialist in Medford, NY

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

Active since June 08, 2012

1 SCOUTING BLVD, MEDFORD, NY 11763(631) 297-3200 Get Directions Write a Review

NPPES record last updated: June 8, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Allison Tyska-pettersen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALLISON TYSKA-PETTERSEN (NPI 1093077737) is an individual specialist in Medford, New York, licensed in New York (1751576) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1093077737

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameALLISON TYSKA-PETTERSEN

Location Address1 SCOUTING BLVDMedford, NY 11763-2220

Mailing Address711 Gregory PlRiverhead, NY 11901-2904 · (631) 830-7452

Phone(631) 297-3200

Sole ProprietorYes

Enumeration DateJune 8, 2012

✔ NPI 1093077737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NY · 1751576

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.

1 SCOUTING BLVD, Medford, NY 11763

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