Individual
MARIELLEN CAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-2001
Mailing address
2485 CYPRESS AVE, EAST MEADOW, NY 11554-4210
(516) 797-9270
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
F350456
NY
Other
Enumeration date
07/14/2019
Last updated
07/14/2019
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