Organization
DIAGNOSTIC NEUROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SERGEY ZHIVOTENKO MD (PRESIDENT)
(516) 791-0761
Entity
Organization
Contact information
Practice address
2797 OCEAN PKWY, 2 FLOOR, BROOKLYN, NY 11235-7868
(718) 576-1212
(718) 332-7110
Mailing address
81 LOTUS OVAL N, VALLEY STREAM, NY 11581-2327
(516) 791-0761
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
—
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02677663
—
NY
Enumeration date
06/16/2007
Last updated
03/07/2023
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