Healthcare Provider Details

I. General information

NPI: 1497821227
Provider Name (Legal Business Name): VIOLETTA ZALESKA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/24/2006
Last Update Date: 05/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

134 GREENPOINT AVE
BROOKLYN NY
11222
US

IV. Provider business mailing address

134 GREENPOINT AVE
BROOKLYN NY
11222
US

V. Phone/Fax

Practice location:
  • Phone: 718-349-6160
  • Fax: 718-349-6170
Mailing address:
  • Phone: 718-349-6160
  • Fax: 718-349-6170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number211884
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: