Individual
MR. JARED PAUL KACZYNSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, CNOR, RNFA
Contact information
Practice address
1367 WASHINGTON AVE, ALBANY, NY 12206-1069
(518) 489-2666
Mailing address
2308 BACKSTRETCH AVE, MALTA, NY 12020
(518) 986-7587
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
702342
NY
Other
Enumeration date
01/16/2020
Last updated
06/19/2023
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