# BROOKLYN PAIN MANAGEMENT PC

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

## Provider details

- **NPI number:** 1306279203
- **Authorized official:** DR. MEHRDAD HEDAYATNIA MD (OWNER)
- **Authorized official phone:** (718) 302-1111

## Contact information

- **Practice address:** 370 BAY RIDGE PKWY, BROOKLYN, NY 11209-3176
- **Practice address phone:** (718) 302-1111
- **Practice address fax:** (718) 506-9702
- **Mailing address:** 370 BAY RIDGE PKWY, BROOKLYN, NY 11209-3176
- **Mailing address phone:** (718) 302-1111
- **Mailing address fax:** (718) 506-9702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 101301 | NY | Yes |
| 208D00000X | General Practice Physician | 101301 | NY | — |

## Other

- **Enumeration date:** 08/14/2013
- **Last updated:** 08/14/2013