Petr Lissovskiy, LMT

NPI #1043824618 in Tuckahoe, New York

Provider Information

NPI Number
1043824618
Entity Type
Individual
Name
Petr Lissovskiy, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Sep 1, 2020
Last Updated
Sep 1, 2020

Practice Location

Address
50 COLUMBUS AVE APT F21
ZIP Code
10707-2545
Phone
(914) 573-9211

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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