Provider Demographics
NPI:1144315458
Name:GRECO, GINA L (RN)
Entity type:Individual
Prefix:MRS
First Name:GINA
Middle Name:L
Last Name:GRECO
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 1:53 WEST CHESTER ST
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-5923
Mailing Address - Country:US
Mailing Address - Phone:845-331-6844
Mailing Address - Fax:707-490-0493
Practice Address - Street 1:FOX HOLLOW ROAD
Practice Address - Street 2:
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572
Practice Address - Country:US
Practice Address - Phone:845-876-5400
Practice Address - Fax:845-876-4404
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3593541163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse