Provider Demographics
NPI:1992540744
Name:CAIRO, BRIAN (CRPA, CASAC-T)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:
Last Name:CAIRO
Suffix:
Gender:M
Credentials:CRPA, CASAC-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 MURRAY HILL ST
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-2142
Mailing Address - Country:US
Mailing Address - Phone:516-668-4557
Mailing Address - Fax:
Practice Address - Street 1:126 N FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-1318
Practice Address - Country:US
Practice Address - Phone:516-486-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY39199101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)