Individual
CHARLES ZAJAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1450 WESTERN AVE STE 102, ALBANY, NY 12203-3539
(518) 463-0050
Mailing address
16 SHERIDAN AVE APT 523, ALBANY, NY 12210-2757
(518) 423-0580
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
705152
NY
367500000X
Certified Registered Nurse Anesthetist
705152
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
705152
RN LICENSE NUMBER
NY
Enumeration date
10/27/2022
Last updated
05/05/2026
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