Provider Demographics
NPI:1649296500
Name:ZBOINSKI, JOHN L (DPM)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:L
Last Name:ZBOINSKI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:91 MONTGOMERY ST
Mailing Address - Street 2:
Mailing Address - City:RHINEBECK
Mailing Address - State:NY
Mailing Address - Zip Code:12572-1122
Mailing Address - Country:US
Mailing Address - Phone:845-876-8637
Mailing Address - Fax:845-876-0218
Practice Address - Street 1:91 MONTGOMERY ST
Practice Address - Street 2:
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572-1122
Practice Address - Country:US
Practice Address - Phone:845-876-8637
Practice Address - Fax:845-876-0218
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYN005181-1213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP19041Medicare PIN
NYU62409Medicare UPIN