Healthcare Provider Details

I. General information

NPI: 1558508275
Provider Name (Legal Business Name): MIHAI CARATAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/16/2009
Last Update Date: 06/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 GRAND ST
NEW BRITAIN CT
06052-2016
US

IV. Provider business mailing address

5450 NETHERLAND AVE E55
BRONX NY
10471-2323
US

V. Phone/Fax

Practice location:
  • Phone: 860-224-5900
  • Fax:
Mailing address:
  • Phone: 917-545-7466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number251393
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number047748
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: