David Liskov, Md

LBN: David Liskov, Md
David Liskov, Md is an health care organization with primary practice located at 562 Wyoming Ave , Kingston PA 18704-3721. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Psychiatry, which is considered as the primary health care specialty. David Liskov, Md can be contacted via phone (570) 552-3900, or through Liskov, David via phone (570) 287-2900.

Contact Information

Primary practice address
562 Wyoming Ave Kingston PA 18704-3721
Phone: (570) 552-3900
Fax: (570) 300-1829
Website:
Map and Directions
Authorized official contact:
Name: Liskov, David Doctor of Medicine (MD)
Phone: (570) 287-2900

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X MD034887E Pennsylvania

Profile Details

NPI number 1285862409
LBN Legal business name David Liskov, Md
DBA Doing business as
Authorized official Liskov, David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2009
Last updated May 29th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285862409 NPPES
Pennsylvania MEDICAID 0010825390002

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