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Organization

IMELDA A. CARIN, MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IMELDA ALONSO CARIN M.D. (OWNER)
(718) 384-0010
Entity
Organization

Contact information

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

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00715182
NY
Enumeration date
01/06/2014
Last updated
01/06/2014
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