| Mr David Liskov, MD | |
| 562 Wyoming Ave, Kingston, PA 18704-3721 | |
| (570) 552-3900 | |
| (570) 287-6733 | 
| Full Name | Mr David Liskov | 
|---|---|
| Gender | Male | 
| Speciality | Psychiatry & Neurology - Geriatric Psychiatry | 
| Location | 562 Wyoming Ave, Kingston, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1780683417 | NPI | - | NPPES | 
| 0010825390002 | Medicaid | PA | |
| 0010825390003 | Medicaid | PA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | MD-034887-E (Pennsylvania) | Primary | 
| Entity Name | Scranton Counseling Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1629005764 PECOS PAC ID: 2769380120 Enrollment ID: O20031222000838 | 
| Entity Name | Northeast Counseling Services | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1649608530 PECOS PAC ID: 5799768115 Enrollment ID: O20040608000843 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr David Liskov, MD 512 Northampton St, Edwardsville, PA 18704-4560 Ph: (570) 287-2900 | Mr David Liskov, MD 562 Wyoming Ave, Kingston, PA 18704-3721 Ph: (570) 552-3900 | 
| Dr. Md.mushfiqur Rahman, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 562 Wyoming Ave, First Hospital, Kingston, PA 18704 Phone: 570-552-3865 Fax: 570-552-3643 | |
| Dorothy Farrell, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 468 Northampton St, Kingston, PA 18704 Phone: 570-283-0868 Fax: 570-283-0821 | |
| Dr. Mark J Saxon, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 480 Pierce Street, Suite 212, Kingston, PA 18704 Phone: 570-718-1996 Fax: 570-718-1997 | |
| Jeanne Ann Rinehouse, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 517 Pierce St, Suite B, Kingston, PA 18704 Phone: 570-718-6940 | |
| Anil K Rai, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 676 Wyoming Ave, Kingston, PA 18704 Phone: 570-331-2700 | |
| Steven R Kafrissen, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 562 Wyoming Ave, Kingston, PA 18704 Phone: 570-552-3925 Fax: 570-552-3907 | |
| Dr. Richard E Fischbein, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 562 Wyoming Ave, Kingston, PA 18704 Phone: 570-552-3780 |