Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lyudmila Shelestovsky

Individual provider Physician Assistant · NPI 1265060859

Lyudmila Shelestovsky is a Physician Assistant in Vestal, New York. Qualified in 2020, 6 years ago. Practices with United Medical Associates PC, a 232-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

4433 Vestal Pkwy E
Vestal, NY 13850-3556
Phone: (607) 771-2220
Fax: (607) 251-2635
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 025953 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1265060859
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 30, 2020
Last updated in NPPESDecember 19, 2025
Certification dateDecember 19, 2025
Mailing address33 Lewis Rd Ste 2, Binghamton, NY 13905-1040

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice United Medical Associates Pc — 232 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Vestal