Individual
CONNIE HANHAM-CAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, CDE
Contact information
Practice address
501 NEW KARNER RD, SUITE 1A, ALBANY, NY 12205-3882
(518) 452-1337
(518) 724-6660
Mailing address
711 TROY SCHENECTADY RD STE 203, LATHAM, NY 12110-2461
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
424562
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03501397
—
NY
01
—
9414935
AETNA
NY
01
—
R56361
EMPIRE BLUECROSS BLUESHIELD
NY
Enumeration date
10/17/2012
Last updated
01/26/2018
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