Provider Demographics
NPI:1467792895
Name:CAINES, CHRISTANA (DNP)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTANA
Middle Name:
Last Name:CAINES
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:677 ORIOLE AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-3828
Mailing Address - Country:US
Mailing Address - Phone:516-485-9887
Mailing Address - Fax:516-485-9887
Practice Address - Street 1:STONY BROOK MEDICAL CTR
Practice Address - Street 2:HSC LEVEL 19 ROOM 080
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-8191
Practice Address - Country:US
Practice Address - Phone:631-444-1820
Practice Address - Fax:631-444-8963
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-21
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF301419-1363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care