Provider Demographics
NPI:1548496532
Name:VIOLETTA ZALESKA, M.D.,P.C.
Entity type:Organization
Organization Name:VIOLETTA ZALESKA, M.D.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VIOLETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZALESKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-349-6160
Mailing Address - Street 1:PO BOX 4184
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07012-8184
Mailing Address - Country:US
Mailing Address - Phone:718-349-6160
Mailing Address - Fax:718-349-6170
Practice Address - Street 1:134 GREENPOINT AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222-2218
Practice Address - Country:US
Practice Address - Phone:718-349-6160
Practice Address - Fax:718-349-6170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-03
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY211884207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG46958Medicare UPIN