Petr Lissovskiy, LMT is a
Massage Therapist based in Tuckahoe, New York. Petr Lissovskiy is licensed to practice in New York (license number 031264) and his current practice location is
50 Columbus Ave Apt F21, Tuckahoe, New York. He can be reached at his office (for appointments etc.) via phone at
(914) 573-9211.
NPI number for Petr Lissovskiy is 1043824618 and his current mailing address is 50 Columbus Ave Apt F21, Tuckahoe, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043824618.
Healthcare Provider's Profile
Full Name | Petr Lissovskiy |
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Gender | Male |
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Speciality | Massage Therapist |
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Location | 50 Columbus Ave Apt F21, Tuckahoe, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043824618
- Provider Enumeration Date: 09/01/2020
- Last Update Date: 09/01/2020
Medical Identifiers
Medical identifiers for Petr Lissovskiy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043824618 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 031264 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Petr Lissovskiy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Petr Lissovskiy, LMT 50 Columbus Ave Apt F21, Tuckahoe, NY 10707-2545 Ph: (914) 573-9211 | Petr Lissovskiy, LMT 50 Columbus Ave Apt F21, Tuckahoe, NY 10707-2545 Ph: (914) 573-9211 |
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