Organization
BAY RIDGE SURGI-CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEHRDAD HEDAYATNIA MD (OWNER-AUTHORIZED OFFICIAL)
(718) 833-7246
Entity
Organization
Contact information
Practice address
370 BAY RIDGE PKWY STE 1, BROOKLYN, NY 11209-3164
(718) 833-7246
Mailing address
370 BAY RIDGE PKWY STE 1, BROOKLYN, NY 11209-3164
(718) 833-7246
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00148-1
LICENSE
NY
Enumeration date
08/09/2017
Last updated
07/21/2022
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