Provider Demographics
NPI:1205850922
Name:HOUSTON, JANET C (NP)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:C
Last Name:HOUSTON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 ONTARIO ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14207-1640
Mailing Address - Country:US
Mailing Address - Phone:716-447-6650
Mailing Address - Fax:716-447-6655
Practice Address - Street 1:500 ONTARIO ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14207-1640
Practice Address - Country:US
Practice Address - Phone:716-447-6650
Practice Address - Fax:716-447-6655
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY381730363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY9512819OtherINDEPENDENT HEALTH
NY050317000094OtherFIDELIS
NY00027035001OtherUNIVERA
NY000560918001OtherBLUE CROSS OF WNY