| NPI | 1245275320 |
|---|---|
| Former Name | SERGEY KIYANOVSKIY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 016388) |
| Additional Taxonomies | 2251E1300X Physical Therapist, Electrophysiology, Clinical (Licence: NY 016388) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2007-07-08 |