Montana Tysiac

NPI #1366313025 in Kenmore, New York

Provider Information

NPI Number: 1366313025
Entity Type: Individual
Name: Montana Tysiac
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Sep 16, 2025
Last Updated: Sep 16, 2025

Practice Location

Address: 2495 ELMWOOD AVE
City: Kenmore
State: New York
ZIP Code: 14217-2222
Phone: (716) 882-2127

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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