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Contact Information

DAVID LISKOV, MD
562 WYOMING AVE
KINGSTON, PA18704-3721
 Phone: 570-552-3900
 Fax: 570-300-1829
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for DAVID LISKOV MD · (Female)

NPI # 1285862409
Status Active
Credentials
Entity Individual
Enumeration date 06/25/2009
Last updated 05/29/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # MD034887E
  • PA Medicaid 0010825390002
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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