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SAMANTHA TYSOWSKI
NPI 1356038251
Licensed Practical Nurse in Shirley, NY

Active since April 20, 2023
86 FORREST AVE, SHIRLEY, NY 11967(631) 942-1818 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samantha Tysowski NPPES

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

SAMANTHA TYSOWSKI (NPI 1356038251) is an individual licensed practical nurse in Shirley, New York, licensed in New York (344738-01) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1356038251
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSAMANTHA TYSOWSKI
Location Address86 FORREST AVEShirley, NY 11967-1954
Mailing Address86 Forrest AveShirley, NY 11967-1954 · (631) 942-1818
Phone(631) 942-1818
Sole ProprietorYes
Enumeration DateApril 20, 2023
NPPES CertifiedApril 20, 2023
✔ NPI 1356038251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 344738-01
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
86 FORREST AVE, Shirley, NY 11967
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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 Samantha Tysowski's NPI number?

The NPI number for Samantha Tysowski is 1356038251. It was assigned to this individual provider in the NPPES registry on April 20, 2023.

Where is Samantha Tysowski located?

Samantha Tysowski practices at 86 Forrest Ave, Shirley, NY 11967. The listed phone number is (631) 942-1818.

What is Samantha Tysowski's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Samantha Tysowski was last updated on April 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.