| Organization Name: | KOPYLENKO DPM PC |
| NPI Number: | 1114241387 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ZINAIDA V KOPYLENKO (PRESIDENT/CEO) |
| Mailing Address: | 224 Marc Dr North Brunswick |
| State: | NJ US |
| Postal Code: | 089025104 |
| Phone Number: | 3476453044 |
| Fax Number: | 7328515566 |
| NPI Enumeration Date: | 03/17/2010 |
| NPI Last Update Date: | 03/17/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | 25MD00292700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |