Provider Demographics
NPI:1780762609
Name:ZELKOVITZ, VICTOR MARCUS (DPM)
Entity type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:MARCUS
Last Name:ZELKOVITZ
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:256 JUANITA CT
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19057-3631
Mailing Address - Country:US
Mailing Address - Phone:610-356-7699
Mailing Address - Fax:610-356-1771
Practice Address - Street 1:256 JUANITA CT
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19057-3631
Practice Address - Country:US
Practice Address - Phone:610-356-7699
Practice Address - Fax:610-356-1771
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC-1858-L213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000500394Medicaid
PA083382Medicare PIN
PAT28303Medicare UPIN
PA1252330001Medicare NSC