# SERGE KIANOVSKI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1245275320
- **Gender:** Man
- **Credential:** D.P.T.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 016388 | NY | — |
| 2251E1300X | Clinical Electrophysiology Physical Therapist | 016388 | NY | Yes |

## Other

- **Enumeration date:** 06/20/2006
- **Last updated:** 09/11/2025

## 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 |