SAMANTHA TYSOWSKI

SHIRLEY, NY
NPI1356038251
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  344738-01)
Enumeration Date2023-04-20
Last Update Date2023-04-20
Business Address
SAMANTHA TYSOWSKI
86 FORREST AVE
SHIRLEY, NY 11967-1954
Phone number: 631-942-1818
Mailing Address
SAMANTHA TYSOWSKI
86 FORREST AVE
SHIRLEY, NY 11967-1954
Phone number: 631-942-1818
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