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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IGOR LIZOGUBENKO, P.A.

Active

IGOR LIZOGUBENKO, P.A. is a Physician Assistant healthcare provider located in PORT JEFFERSON, New York. NPI 1033163035 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · PORT JEFFERSON, NY

Registration Details

NPI Number
1033163035
Provider Type
Individual
Gender
Male
NPI Issued
May 22, 2006 (20.190865855246 yrs)
Last Updated
Jan 16, 2008
License
008125-1 (NY)

Practice Information

Address
200 BELLE TERRE RD
PORT JEFFERSON, NY, 117771928
Browse NY providers · Browse ZIP 11777
Phone
6314746000
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in PORT JEFFERSON, NY

Name Credential NPI
JOSEPH M AUDIINO P.A. 1487620100
KEITH C FIELD P.A. 1710953435
TRACY M MOREA PA 1265463541
RONALD ROSSI RPA-C 1225062581
MICHAEL SUZZIVALLI 1194737973
CHRISTINA THOMPSON PA 1861589285
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.