Lisitsky, Andrew

Lisitsky, Andrew is an individual health care provider with primary practice located at 603 Division St , North Tonawanda NY 14120-4464. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Lisitsky, Andrew can be contacted via phone (716) 693-0556.

Contact Information

Primary practice address
603 Division St North Tonawanda NY 14120-4464
Phone: (716) 693-0556
Fax: (866) 907-6157
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT00008783 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 023017 New York

Profile Details

NPI number 1104887587
LBN Legal business name Lisitsky, Andrew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Sep 14th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104887587 NPPES
Washington Other 7588LI REGENCE
Washington Other 5479LI REGENCE
Washington Other 7587LI REGENCE
Washington Other 0219769 REGENCE

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