Organization
BROOKLYN PAIN MANAGEMENT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEHRDAD HEDAYATNIA MD (OWNER)
(718) 302-1111
Entity
Organization
Contact information
Practice address
370 BAY RIDGE PKWY, BROOKLYN, NY 11209-3176
(718) 302-1111
(718) 506-9702
Mailing address
370 BAY RIDGE PKWY, BROOKLYN, NY 11209-3176
(718) 302-1111
(718) 506-9702
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
101301
NY
208D00000X
General Practice Physician
101301
NY
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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