Individual
MEHRDAD HEDAYATNIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
370 BAY RIDGE PKWY, BROOKLYN, NY 11209-3176
(718) 499-7246
(718) 506-9702
Mailing address
116 SANFORD STREET, BROOKLYN, NY 11205
(718) 302-1111
(718) 506-9702
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
251932-1
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
251932-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02382112
—
NY
Enumeration date
08/22/2005
Last updated
11/14/2013
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