Individual
DR. PAUL ZHIVAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
44 E 67TH ST, NEW YORK, NY 10065-6135
(212) 988-2955
Mailing address
19 RYERSON PL, CLOSTER, NJ 07624-2505
(646) 318-0510
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
057240-1
NY
Other
Enumeration date
03/09/2015
Last updated
04/18/2015
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