Individual
LISA CAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
730 E 43RD ST, BROOKLYN, NY 11203-6507
(917) 309-8145
Mailing address
730 E 43RD ST, BROOKLYN, NY 11203-6507
(917) 309-8145
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
539842
NY
363L00000X
Nurse Practitioner
Primary
306021
NY
Other
Enumeration date
04/09/2012
Last updated
10/18/2020
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