Individual
KRISTEN A TYSZKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 W 63RD ST APT 16H, NEW YORK, NY 10023-7116
(401) 341-0445
Mailing address
15 CALVERT PL, JAMESTOWN, RI 02835-1514
(401) 341-0445
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301074435
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
4301074435
MI
2084P0800X
Psychiatry Physician
Primary
272796
NY
2084P0800X
Psychiatry Physician
4301074435
MI
2084P0805X
Geriatric Psychiatry Physician
272796
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06994449
—
NY
Enumeration date
10/19/2006
Last updated
05/29/2024
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