Individual
SADY THEODORO RIBEIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3244 31ST ST, LONG ISLAND CITY, NY 11106-2561
(347) 229-3331
Mailing address
3272 STEINWAY ST, ASTORIA, NY 11103-4182
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
240842-1
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
BR3724514
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
J4668
TX
207RR0500X
Rheumatology Physician
BR3724514
PA
207RR0500X
Rheumatology Physician
J4668
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
240842
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017731920001
—
PA
Enumeration date
10/24/2005
Last updated
11/29/2016
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