Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alyssa Tkacz

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174338917

Alyssa Tkacz is a Student in an Organized Health Care Education/Training Program in Bay Shore, New York. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1448 5th Ave
Bay Shore, NY 11706-4147
Phone: (631) 309-6900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1174338917
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 10, 2025
Last updated in NPPESFebruary 10, 2025
Certification dateFebruary 10, 2025

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