Individual
MR. COREY M CAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2631 MERRICK RD, SUITE 302, BELLMORE, NY 11710-5730
(516) 590-7575
Mailing address
139 STUYVESANT AVE, APT 2, BROOKLYN, NY 11221-1946
(405) 623-2843
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200317530B
—
OK
Enumeration date
10/29/2012
Last updated
10/11/2016
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