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

Samantha Tysowski

Individual provider Licensed Practical Nurse · NPI 1356038251

Samantha Tysowski is a Licensed Practical Nurse in Shirley, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023

Practice location Address checks out

86 Forrest Ave
Shirley, NY 11967-1954
Phone: (631) 942-1818
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 344738-01 (NY)

Record details

NPI number1356038251
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 20, 2023
Last updated in NPPESApril 20, 2023
Certification dateApril 20, 2023
Mailing address86 Forrest Ave, Shirley, NY 11967-1954

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