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Individual

DR. ZINAIDA VIKTORIA KOPYLENKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.P.M.

Contact information

Practice address
95 BRIDGE PLAZA DR, MANALAPAN, NJ 07726-1700
(732) 823-8769
(732) 851-5566
Mailing address
24 FORMAN LN, MANALAPAN, NJ 07726-2948
(347) 645-3044
(732) 851-5566

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
25MD00292700
NJ
213ES0131X
Foot Surgery Podiatrist
N006210-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02967628
NY
01
P11071
NY MEDICARE
NY
Enumeration date
06/21/2007
Last updated
03/17/2018
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