PETR LISSOVSKIY LMT
NPI 1043824618
Massage Therapist in Tuckahoe, NY

Q: What is Petr Lissovskiy's NPI number?

The NPI number for Petr Lissovskiy is 1043824618. It was assigned to this individual provider in the NPPES registry on September 1, 2020.

Q: What is Petr Lissovskiy's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Petr Lissovskiy was last updated on September 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 01, 2020

50 COLUMBUS AVE APT F21, TUCKAHOE, NY 10707(914) 573-9211 Get Directions Write a Review

NPPES record last updated: September 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Petr Lissovskiy Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETR LISSOVSKIY LMT (NPI 1043824618) is an individual massage therapist in Tuckahoe, New York, licensed in New York (031264) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1043824618

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NamePETR LISSOVSKIYCredential: LMT

Location Address50 COLUMBUS AVE APT F21Tuckahoe, NY 10707-2545

Mailing Address50 Columbus Ave Apt F21Tuckahoe, NY 10707-2545 · (914) 573-9211

Phone(914) 573-9211

Sole ProprietorYes

Enumeration DateSeptember 1, 2020

NPPES CertifiedSeptember 1, 2020

✔ NPI 1043824618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in NY · 031264

Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

50 COLUMBUS AVE APT F21, Tuckahoe, NY 10707

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Petr Lissovskiy's NPI number?

The NPI number for Petr Lissovskiy is 1043824618. It was assigned to this individual provider in the NPPES registry on September 1, 2020.

Where is Petr Lissovskiy located?

Petr Lissovskiy practices at 50 Columbus Ave Apt F21, Tuckahoe, NY 10707. The listed phone number is (914) 573-9211.

What is Petr Lissovskiy's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Petr Lissovskiy was last updated on September 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.