# BAY RIDGE SURGI-CENTER LLC

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

## Provider details

- **NPI number:** 1639694805
- **Authorized official:** DR. MEHRDAD HEDAYATNIA MD (OWNER-AUTHORIZED OFFICIAL)
- **Authorized official phone:** (718) 833-7246

## Contact information

- **Practice address:** 370 BAY RIDGE PKWY STE 1, BROOKLYN, NY 11209-3164
- **Practice address phone:** (718) 833-7246
- **Mailing address:** 370 BAY RIDGE PKWY STE 1, BROOKLYN, NY 11209-3164
- **Mailing address phone:** (718) 833-7246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/09/2017
- **Last updated:** 07/21/2022