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Allison Tyska-Pettersen
NPI 1093077737 · Specialist · Medford, NY
Allison Tyska-Pettersen is a Specialist provider in Medford, NY (NPI 1093077737).
Provider details
- NPI number
- 1093077737
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1751576 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1 Scouting Blvd
Medford, NY 11763-2220
Phone: (631) 297-3200
Approximate (ZIP-level) locationGet directions
Mailing address
711 Gregory Pl
Riverhead, NY 11901-2904
Registry dates
- Enumerated
- 2012-06-08
- Last updated
- 2012-06-08
Frequently asked questions
- What is Allison Tyska-Pettersen's NPI number?
- Allison Tyska-Pettersen's National Provider Identifier (NPI) is 1093077737, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Allison Tyska-Pettersen's specialty?
- Allison Tyska-Pettersen is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Allison Tyska-Pettersen located?
- Allison Tyska-Pettersen's practice location on file with NPPES is 1 Scouting Blvd, Medford, NY 11763-2220.
- What is Allison Tyska-Pettersen's phone number?
- The practice phone number listed in the NPPES registry for Allison Tyska-Pettersen is (631) 297-3200.
- Is Allison Tyska-Pettersen's NPI active?
- Yes — Allison Tyska-Pettersen's NPI (1093077737) is active in the NPPES registry as of the last update on 2012-06-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.