Zhivotenko, Sergey

Zhivotenko, Sergey is an sole proprietor health care provider with primary practice located at 2797 Ocean Pkwy 2Nd Floor, Brooklyn NY 11235-7861. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Zhivotenko, Sergey can be contacted via phone (718) 576-1212.

Contact Information

Primary practice address
2797 Ocean Pkwy 2Nd Floor Brooklyn NY 11235-7861
Phone: (718) 576-1212
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 236752 New York
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 236752 New York

Profile Details

NPI number 1154348092
LBN Legal business name Zhivotenko, Sergey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2006
Last updated Mar 28th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154348092 NPPES
New York MEDICAID 02677663
New York Other 07305

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