Alyssa Tkacz
Student in an Organized Health Care Education/Training Program in Bay Shore, NY. Individual provider (NPI-1).
NPI number1174338917
StatusActive
Last updated in NPPESFeb 10, 2025
Details
- NPI
- 1174338917
- Entity type
- Individual (NPI-1)
- Name
- Alyssa Tkacz
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 10, 2025
- Certification date
- Feb 10, 2025
- Last updated
- Feb 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1448 5th AveBay Shore, NY 11706-4147
Phone 631-309-6900
Mailing address
790 Park AveHuntington, NY 11743-4516
Phone 631-427-3700
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All 153 Student in an Organized Health Care Education/Training Program providers in Bay Shore · All 2,254 providers in Bay Shore
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