Healthcare Provider Details

I. General information

NPI: 1134922099
Provider Name (Legal Business Name): ROSANNE HILLIKER REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2025
Last Update Date: 03/28/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 NEW SCOTLAND AVE
ALBANY NY
12208-3409
US

IV. Provider business mailing address

75 NEW SCOTLAND AVE
ALBANY NY
12208-3409
US

V. Phone/Fax

Practice location:
  • Phone: 518-549-6000
  • Fax: 518-549-6804
Mailing address:
  • Phone: 518-549-6000
  • Fax: 518-549-6804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number581317-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: