Provider Demographics
NPI:1619500261
Name:ZALESKI, SABRINA ASHLEY LIM (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:SABRINA
Middle Name:ASHLEY LIM
Last Name:ZALESKI
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:SABRINA
Other - Middle Name:ASHLEY LIM
Other - Last Name:BUCKINGHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP
Mailing Address - Street 1:414 W 120TH ST APT 405
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-6706
Mailing Address - Country:US
Mailing Address - Phone:713-459-2596
Mailing Address - Fax:
Practice Address - Street 1:1275 YORK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-6007
Practice Address - Country:US
Practice Address - Phone:713-459-2596
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-21
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC869705163W00000X
390200000X
NY138484367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered Nurse
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program