Individual
IANA TEZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
195 BECKWITH AVE, SOUTHOLD, NY 11971-2051
(917) 519-1021
Mailing address
PO BOX 1239, SOUTHOLD, NY 11971-0935
(917) 519-1021
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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