Provider Demographics
NPI:1962788679
Name:SZESNAT, GINA (RN)
Entity type:Individual
Prefix:MRS
First Name:GINA
Middle Name:
Last Name:SZESNAT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 EMERICK LANE
Mailing Address - Street 2:
Mailing Address - City:LOUDONVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12211
Mailing Address - Country:US
Mailing Address - Phone:518-482-1552
Mailing Address - Fax:
Practice Address - Street 1:1075 NEW SCOTLAND ROAD
Practice Address - Street 2:ACADEMY OF HOLY NAMES (CITY SCHOOL DISTRICT OF ALBANY)
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208
Practice Address - Country:US
Practice Address - Phone:518-438-7895
Practice Address - Fax:518-438-7368
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-26
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY447457-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse