# IMELDA A. CARIN, MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003238379
- **Authorized official:** IMELDA ALONSO CARIN M.D. (OWNER)
- **Authorized official phone:** (718) 384-0010

## Contact information

- **Practice address:** 302 BROADWAY, BROOKLYN, NY 11211-7308
- **Practice address phone:** (718) 384-0010
- **Practice address fax:** (718) 599-4632
- **Mailing address:** 302 BROADWAY, BROOKLYN, NY 11211-7308
- **Mailing address phone:** (718) 384-0010
- **Mailing address fax:** (718) 599-4632

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 14973-1 | NY | Yes |

## Other

- **Enumeration date:** 01/06/2014
- **Last updated:** 01/06/2014