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Individual
SERGE KIANOVSKI
Active
Individual
SERGE KIANOVSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
016388
NY
2251E1300X
Clinical Electrophysiology Physical Therapist
Primary
016388
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016388
HIP
NY
05
—
02012040
—
NY
01
—
11081573
MULTIPLAN
NY
01
—
136981
CHN
NY
01
—
177236
ELDER PLAN
NY
01
—
3C6820
HEALTH NET
NY
01
—
6698961
GHI
NY
01
—
833574
EMPIRE PLAN (MPN)
NY
01
—
BK0224704
AMERICHOICE
NY
01
—
P2459083
OXFORD
NY
01
—
QC2011
EMPIRE BCBS
NY
Enumeration date
06/20/2006
Last updated
09/11/2025
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