Healthcare Provider Details

I. General information

NPI: 1831454131
Provider Name (Legal Business Name): CHRISTINA CAIN MS, MA, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2012
Last Update Date: 09/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 LOTVILLE RD
DOLGEVILLE NY
13329-1708
US

IV. Provider business mailing address

310 LOTVILLE RD
DOLGEVILLE NY
13329-1708
US

V. Phone/Fax

Practice location:
  • Phone: 315-868-6048
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number608937-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: