Rebecca Lissitschenko, N.P.
Nurse Practitioner, Family in Buffalo, NY. Individual provider (NPI-1).
NPI number1902956972
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1902956972
- Entity type
- Individual (NPI-1)
- Name
- Rebecca Lissitschenko
- Credential
- N.P.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 11, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F330651 | NY | Yes |
Practice location
425 Michigan AveBuffalo, NY 14203-2209
Phone 716-848-2123 · Fax 716-848-2125
Mailing address
3341 Creekview DrHamburg, NY 14075-3640
Phone 716-648-2072
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