Provider Demographics
NPI:1275542383
Name:CATINO, JANICE M (NP)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:M
Last Name:CATINO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 NOTT ST
Mailing Address - Street 2:ELLIS HOSPITAL
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12308-2425
Mailing Address - Country:US
Mailing Address - Phone:518-243-4000
Mailing Address - Fax:518-243-4135
Practice Address - Street 1:1101 NOTT ST
Practice Address - Street 2:ELLIS HOSPITAL
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308-2425
Practice Address - Country:US
Practice Address - Phone:518-243-4000
Practice Address - Fax:518-243-4135
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY288761163W00000X
NY330226363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7599229OtherGHI-PPO
NY050803000054OtherFIDELIS CARE
NY000000093423OtherGHI-HMO
NY11464132OtherCAQH
NY381483OtherMVP
NY000496419001OtherBLUE SHIELD
NY000000093423OtherGHI-HMO
NYCC4867Medicare ID - Type Unspecified
NY11464132OtherCAQH