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ALLISON TYSKA-PETTERSEN
NPI 1093077737
Specialist in Medford, NY

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: August 16, 2026.

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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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LORI MERCK
Behavior Analyst
1 SCOUTING BLVD
MEDFORD, NY 11763
Suffolk County (631) 297-3202
KASEY ANN VITALE
Specialist
1 SCOUTING BLVD
MEDFORD, NY 11763
Suffolk County (631) 297-3202
BEVIN ANN FLEMMING
Specialist
1 SCOUTING BLVD
MEDFORD, NY 11763
Suffolk County (631) 297-3202
EILEEN LEARY ROGGEMANN
Specialist/Technologist, Other
1 SCOUTING BLVD
MEDFORD, NY 11763
Suffolk County (631) 297-3202
NICOLE RYANN MIHALIK MA
Early Intervention Provider Agency
1 SCOUTING BLVD
MEDFORD, NY 11763
Suffolk County (631) 297-3201
TRACEY MARIE SOUTHARD
Specialist
1 SCOUTING BLVD
MEDFORD, NY 11763
Suffolk County (631) 745-0317
OLIVIA ANN FERTMANN
Specialist
1 SCOUTING BLVD
MEDFORD, NY 11763
Suffolk County (631) 297-3202
ANDREA VERIOS
Early Intervention Provider Agency
1 SCOUTING BLVD
MEDFORD, NY 11763
Suffolk County (631) 297-3202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Allison Tyska-pettersen's NPI number?

The NPI number for Allison Tyska-pettersen is 1093077737. It was assigned to this individual provider in the NPPES registry on June 8, 2012.

Where is Allison Tyska-pettersen located?

Allison Tyska-pettersen practices at 1 Scouting Blvd, Medford, NY 11763. The listed phone number is (631) 297-3200.

What is Allison Tyska-pettersen's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Allison Tyska-pettersen was last updated on June 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.