| NPI | 1114241387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZINAIDA V KOPYLENKO President/CEO 347-645-3044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NJ 25MD00292700) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2019-01-27 |