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

Petr Lissovskiy, LMT

Individual provider Massage Therapist · NPI 1043824618

Petr Lissovskiy, LMT is a Massage Therapist in Tuckahoe, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

50 Columbus Ave Apt F21
Tuckahoe, NY 10707-2545
Phone: (914) 573-9211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 031264 (NY)

Record details

NPI number1043824618
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedSeptember 1, 2020
Last updated in NPPESSeptember 1, 2020
Certification dateSeptember 1, 2020
Mailing address50 Columbus Ave Apt F21, Tuckahoe, NY 10707-2545

Other providers in Tuckahoe