Healthcare Provider Details

I. General information

NPI: 1841838893
Provider Name (Legal Business Name): VIOLETA ZILESKA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2019
Last Update Date: 03/31/2020
Certification Date: 03/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

384 MACARTHUR AVE
GARFIELD NJ
07026-1147
US

IV. Provider business mailing address

20 GRAND ST FL 3
WARWICK NY
10990-1035
US

V. Phone/Fax

Practice location:
  • Phone: 973-356-4820
  • Fax:
Mailing address:
  • Phone: 201-529-0033
  • Fax: 845-987-5979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ00998200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: