# SADYRIBEIRO PAIN MANAGEMENT AND MEDICAL SERVICES PC

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

## Provider details

- **NPI number:** 1619255668
- **Authorized official:** DR. SADY THEODORO RIBEIRO (ANESTHESIOLOGY)
- **Authorized official phone:** (718) 743-7090

## Contact information

- **Practice address:** 9525 JAMAICA AVE, WOODHAVEN, WOODHAVEN, NY 11421-2282
- **Practice address phone:** (718) 743-7090
- **Practice address fax:** (718) 764-8202
- **Mailing address:** 9525 JAMAICA AVE, WOODHAVEN, WOODHAVEN, NY 11421-2282
- **Mailing address phone:** (718) 743-7090
- **Mailing address fax:** (718) 764-8202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | J4668 | TX | Yes |

## Other

- **Enumeration date:** 07/25/2011
- **Last updated:** 02/12/2013