Individual
MS. JACQUELINE MARIE GRECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
18 HUGHES CT, QUEENSBURY, NY 12804-2555
(518) 260-1057
Mailing address
10 HENDRICK ST, LAKE GEORGE, NY 12845-1404
(518) 683-2383
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
713368
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
NY
Enumeration date
10/28/2017
Last updated
06/11/2019
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