Allison Tyska-Pettersen

NPI #1093077737 in Medford, New York

Provider Information

NPI Number: 1093077737
Entity Type: Individual
Name: Allison Tyska-Pettersen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jun 8, 2012
Last Updated: Jun 8, 2012

Practice Location

Address: 1 SCOUTING BLVD
City: Medford
State: New York
ZIP Code: 11763-2220
Phone: (631) 297-3200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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