Provider Demographics
NPI:1821258492
Name:ZHIVAGO, EILEEN ANN (MD)
Entity type:Individual
Prefix:DR
First Name:EILEEN
Middle Name:ANN
Last Name:ZHIVAGO
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 NORTH AVE W
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-1491
Mailing Address - Country:US
Mailing Address - Phone:908-308-4500
Mailing Address - Fax:908-308-4515
Practice Address - Street 1:215 NORTH AVE W
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-1491
Practice Address - Country:US
Practice Address - Phone:908-308-4500
Practice Address - Fax:908-308-4515
Is Sole Proprietor?:No
Enumeration Date:2008-06-16
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2731052084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry