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Organization
BAYSIDE PAIN MANAGEMENT PC
Active
Organization
BAYSIDE PAIN MANAGEMENT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARISTIDE BURDUCEA D.O. (PRESIDENT)
(718) 220-0439
Entity
Organization
Contact information
Practice address
247 W 16TH ST, DEER PARK, NY 11729-5819
(646) 982-7281
Mailing address
247 W 16TH ST, DEER PARK, NY 11729-5819
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
243366
NY
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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