Provider Demographics
NPI:1497821227
Name:ZALESKA, VIOLETTA (MD)
Entity Type:Individual
Prefix:MRS
First Name:VIOLETTA
Middle Name:
Last Name:ZALESKA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 GREENPOINT AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11222
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
Practice Address - Country:US
Practice Address - Phone:718-349-6160
Practice Address - Fax:718-349-6170
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-24
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY211884207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01934225Medicaid
NY01934225Medicaid
G46958Medicare UPIN