REBECCA LISSITSCHENKO N.P. NPI 1902956972

NPI Information

Rebecca Lissitschenko, N.P. is a family nurse practitioner in Buffalo, NY with 32 years of experience. Rebecca Lissitschenko, N.P. NPI is 1902956972. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduation Year:1992

The provider's business location address is:

425 MICHIGAN AVE
BUFFALO, NY
ZIP 14203-209
Phone: (716) 848-2123
Fax: (716) 848-2125

The NPI 1902956972 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/11/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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