Individual provider · Type 1 NPI

Lyudmila Shelestovsky

Physician Assistant · Vestal, NY

NPI number 1265060859 Active

Practice location

4433 Vestal Pkwy E
Vestal, NY 13850-3556

Call (607) 771-2220 Map

Fax (607) 251-2635

Mailing address

33 Lewis Rd Ste 2
Binghamton, NY 13905-1040

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X025953 (NY)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

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 1265060859

Lyudmila Shelestovsky's National Provider Identifier is 1265060859, issued on Mar 30, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Vestal, NY. The record was last updated on Dec 19, 2025.