Active NPIIndividual providerSole proprietor

Dr. Maksim Liaukovich, MD

Internal Medicine, Medical Oncology in Watertown, New York

NPI Number1073996518
Practice location
830 Washington St, Watertown, NY 13601-4034
Fax
315-788-4248
Last updated
August 14, 2025

Maksim Liaukovich is an Internal Medicine, Medical Oncology based in Watertown, NY. Maksim Liaukovich practices in Watertown, NY and has the professional credentials of MD. The NPI Number for Maksim Liaukovich is 1073996518 and holds a License No. MD24077 (ME). The current practice location address for Maksim Liaukovich is 830 Washington St, Watertown, NY 13601-4034 and can be reached out via phone at 315-785-4673 and via fax at 315-788-4248.

Provider Profile Details

NPI Number
1073996518
Provider Name
Maksim Liaukovich
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
830 Washington St, Watertown, NY 13601-4034
Phone Number
315-785-4673
Fax Number
315-788-4248
Primary Taxonomy
Internal Medicine, Medical Oncology · 207RX0202X
Sole Proprietor
Yes
Provider Enumeration Date
July 1, 2015
Last Update Date
August 14, 2025
Certification Date
August 14, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
830 Washington St
Watertown, NY 13601-4034
Zip
13601-4034
Phone Number
315-785-4673
Fax Number
315-788-4248
Watertown, NY 13601Get directions →

Provider Business Mailing Address Details

Address
104 Paddock St
Watertown, NY 13601-3990
City
Watertown
State
NY
Zip
13601-3990
Phone Number
315-786-7501
Fax Number
315-779-5306

License Information

License Number (1)
MD24077
License State (1)
ME
License Number (2)
337629
License State (2)
NY
Taxonomy (2)
Internal Medicine, Medical Oncology · 207RX0202X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Maksim Liaukovich, MD?

The NPI number of Dr. Maksim Liaukovich, MD is 1073996518. It was assigned on July 1, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Maksim Liaukovich, MD?

Dr. Maksim Liaukovich, MD is registered under the primary taxonomy Internal Medicine, Medical Oncology (code 207RX0202X), licensed in ME under license number MD24077.

Where does Dr. Maksim Liaukovich, MD practice?

The practice location is 830 Washington St, Watertown, NY 13601-4034. The office can be reached at 315-785-4673 (phone) or 315-788-4248 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073996518 directly on the NPPES registry website.

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