Igor Lizogubenko, P.A.
NPI #1033163035 in Port Jefferson, New York
Provider Information
- NPI Number
- 1033163035
- Entity Type
- Individual
- Name
- Igor Lizogubenko, P.A.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- P.A.
- Enumeration Date
- May 22, 2006
- Last Updated
- Jan 16, 2008
Practice Location
- Address
- 200 BELLE TERRE RD
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11777-1928
- Phone
- (631) 474-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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