National Provider Identifier
Montana Tysiac
Montana Tysiac is listed in the NPPES registry with a primary specialty of Counselor in Kenmore, NY and a listed phone number of (716) 882-2127.
Profile Overview
- NPI
- 1366313025
- Provider Type
- Individual
- Primary Specialty
- Counselor
- Enumeration Date
- September 16, 2025
- Last Updated
- September 16, 2025
Practice Location
- 2495 Elmwood Ave
- Kenmore, NY 14217-2222
Phone: (716) 882-2127
Specialties
- Counselor (101Y00000X)
Full Record
- NPI
- 1366313025
- Entity Type
- Individual
- Last Name
- Tysiac
- First Name
- Montana
- Mailing Street Address
- 2495 Elmwood Ave
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217-2222
- Mailing Country
- US
- Practice Street Address
- 2495 Elmwood Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-2222
- Practice Country
- US
- Practice Phone
- (716) 882-2127
- Enumeration Date
- September 16, 2025
- Last Updated
- September 16, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 16, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Counselor (101Y00000X)