Individual provider · Type 1 NPI

Igor Lizogubenko, P.A.

Physician Assistant · Port Jefferson, NY

NPI number 1033163035 Active

Practice location

200 Belle Terre Rd
Port Jefferson, NY 11777-1928

Call (631) 474-6000 Map

Mailing address

PO Box 826207
Philadelphia, PA 19182-6207

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X008125-1 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1033163035

Igor Lizogubenko, P.A.'s National Provider Identifier is 1033163035, issued on May 22, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Port Jefferson, NY. The record was last updated on Jan 16, 2008.