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

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