Tyszka, Audrey Irene

Tyszka, Audrey Irene is an individual health care provider with primary practice located at 44 Oswego St , Baldwinsville NY 13027-2471. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Tyszka, Audrey Irene can be contacted via phone (315) 396-4241.

Contact Information

Primary practice address
44 Oswego St Baldwinsville NY 13027-2471
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1184976805
LBN Legal business name Tyszka, Audrey Irene
Credentials LCSW-R
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2012
Last updated Dec 6th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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