Doctor Name: | DR. ZINAIDA VIKTORIA KOPYLENKO |
NPI Number: | 1083810717 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.M. |
License Number: | 25MD00292700 |
Business Practice Address: | 224 Marc Dr North Brunswick, NJ - 089025104 |
Business Phone Number: | 3476453044 |
Business Fax Number: | |
Mailing Address: | 224 Marc Dr, NORTH BRUNSWICK |
State: | NJ |
Postal Code: | 089025104 |
Phone Number: | 3476453044 |
Fax Number: | |
NPI Enumeration Date: | 06/21/2007 |
NPI Last Update Date: | 10/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | 25MD00292700 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |