Individual
JANET E. HOULIHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP/PA
Contact information
Practice address
1101 NOTT ST, SCHENECTADY, NY 12308-2425
(518) 243-4000
Mailing address
1462 ERIE BLVD, SUITE 2, SCHENECTADY, NY 12305-1026
(518) 243-1500
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
231831
NY
363AM0700X
Medical Physician Assistant
002769
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
300443
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000069211
GHI-HMO
NY
01
—
000496509001
BLUE SHIELD
NY
01
—
050803000023
FIDELIS CARE
NY
01
—
7599221
GHI-PPO
NY
01
—
787905
MVP
NY
Enumeration date
07/10/2006
Last updated
07/14/2007
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