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Petr Lissovskiy, LMT
NPI 1043824618 · on the registry since 2020 · sole proprietor
Practice
- Address
- 50 Columbus Ave Apt F21
Tuckahoe, NY 10707 - Phone
- (914) 573-9211
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Massage Therapist
225700000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-09-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York