Provider Demographics
NPI:1477068591
Name:ZAYKO, OKSANA
Entity type:Individual
Prefix:MRS
First Name:OKSANA
Middle Name:
Last Name:ZAYKO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8319 116TH ST APT 3G
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11418-3431
Mailing Address - Country:US
Mailing Address - Phone:917-543-1934
Mailing Address - Fax:
Practice Address - Street 1:794 MONROE ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11221-3501
Practice Address - Country:US
Practice Address - Phone:718-638-1875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-12
Last Update Date:2017-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3646793235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist