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ALYSSA TKACZ
NPI 1174338917
Student in an Organized Health Care Education/Training Program in Bay Shore, NY

Active since February 10, 2025
1448 5TH AVE, BAY SHORE, NY 11706(631) 309-6900 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alyssa Tkacz NPPES

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

ALYSSA TKACZ (NPI 1174338917) is an individual student in an organized health care education/training program in Bay Shore, New York and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1174338917
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameALYSSA TKACZ
Location Address1448 5TH AVEBay Shore, NY 11706-4147
Mailing Address790 Park AveHuntington, NY 11743-4516 · (631) 427-3700
Phone(631) 309-6900
Sole ProprietorYes
Enumeration DateFebruary 10, 2025
NPPES CertifiedFebruary 10, 2025
✔ NPI 1174338917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1448 5TH AVE, Bay Shore, NY 11706
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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.

CAROLINE GRACE HOLOCHWOST
Counselor (Addiction (Substance Use Disorder))
1448 5TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 647-3100
SARA MICHELLE GREICHE
Student in an Organized Health Care Education/Training Program
1448 5TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 309-6900
BRITTANI MINGOIA
Counselor (Mental Health)
1448 5TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 309-6900
JENNIFER AYDEE FUENTES
Social Worker
1448 5TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 647-3100
JONICE E SCOTT LCSW
Social Worker (Clinical)
1448 5TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 309-6900
CAITLIN BURKE LMSW
Social Worker
1448 5TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 309-6900
HEIDI MARIE OBRIEN
Case Manager/Care Coordinator
1448 5TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 470-6788
DANA J LEGRANDE LCSW
Social Worker (Clinical)
1448 5TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 309-6831

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 Alyssa Tkacz's NPI number?

The NPI number for Alyssa Tkacz is 1174338917. It was assigned to this individual provider in the NPPES registry on February 10, 2025.

Where is Alyssa Tkacz located?

Alyssa Tkacz practices at 1448 5th Ave, Bay Shore, NY 11706. The listed phone number is (631) 309-6900.

What is Alyssa Tkacz's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Alyssa Tkacz was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.