National Provider Identifier
Samantha Marie Tycz, PT
Samantha Marie Tycz, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Grand Island, NY and a listed phone number of (716) 773-3300.
Profile Overview
- NPI
- 1093548877
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- August 26, 2024
- Last Updated
- August 26, 2024
Practice Location
- 2099 Grand Island Blvd Ste B
- Grand Island, NY 14072-2266
Phone: (716) 773-3300
Mailing Address
- 2147 Bedell RD Apt A
- Grand Island, NY 14072-1631
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1093548877
- Entity Type
- Individual
- Last Name
- Tycz
- First Name
- Samantha
- Middle Name
- Marie
- Name Prefix
- Dr.
- Credential
- PT
- Mailing Street Address
- 2147 Bedell RD Apt A
- Mailing City
- Grand Island
- Mailing State
- NY
- Mailing ZIP Code
- 14072-1631
- Mailing Country
- US
- Mailing Phone
- (716) 909-0744
- Practice Street Address
- 2099 Grand Island Blvd Ste B
- Practice City
- Grand Island
- Practice State
- NY
- Practice ZIP Code
- 14072-2266
- Practice Country
- US
- Practice Phone
- (716) 773-3300
- Enumeration Date
- August 26, 2024
- Last Updated
- August 26, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- August 26, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)