Provider Demographics
NPI:1003813676
Name:CAI, MIN (MD)
Entity Type:Individual
Prefix:MS
First Name:MIN
Middle Name:
Last Name:CAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4105 COLLEGE POINT BLVD
Mailing Address - Street 2:SUITE 1C
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-4200
Mailing Address - Country:US
Mailing Address - Phone:718-321-0558
Mailing Address - Fax:718-321-1672
Practice Address - Street 1:4105 COLLEGE POINT BLVD
Practice Address - Street 2:SUITE 1C
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-4200
Practice Address - Country:US
Practice Address - Phone:718-321-0558
Practice Address - Fax:718-321-1672
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-28
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY233511207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY07794OtherMEDICARE GROUP NUMBER
NY02605250Medicaid
NY07794GOtherMEDICARE PROVIDER NUMBER
NY02605250Medicaid