# BAYSIDE PAIN MANAGEMENT PC

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

## Provider details

- **NPI number:** 1184008658
- **Authorized official:** ARISTIDE BURDUCEA D.O. (PRESIDENT)
- **Authorized official phone:** (718) 220-0439

## Contact information

- **Practice address:** 247 W 16TH ST, DEER PARK, NY 11729-5819
- **Practice address phone:** (646) 982-7281
- **Mailing address:** 247 W 16TH ST, DEER PARK, NY 11729-5819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | 243366 | NY | Yes |

## Other

- **Enumeration date:** 07/15/2015
- **Last updated:** 07/15/2015