| Brooklyn Pain Management Pc | |
|
370 Bay Ridge Pkwy Brooklyn NY 11209-3176 | |
| (718) 302-1111 | |
| (718) 506-9702 |
| Full Name | Brooklyn Pain Management Pc |
|---|---|
| Speciality | Anesthesiology |
| Location | 370 Bay Ridge Pkwy, Brooklyn, New York |
| Authorized Official Name and Position | Mehrdad Hedayatnia (OWNER) |
| Authorized Official Contact | 7183021111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brooklyn Pain Management Pc 370 Bay Ridge Pkwy Brooklyn NY 11209-3176 Ph: (718) 302-1111 | Brooklyn Pain Management Pc 370 Bay Ridge Pkwy Brooklyn NY 11209-3176 Ph: (718) 302-1111 |
| NPI Number | 1306279203 |
|---|---|
| Provider Enumeration Date | 08/14/2013 |
| Last Update Date | 08/14/2013 |
| Medicare PECOS PAC ID | 1456581719 |
|---|---|
| Medicare Enrollment ID | O20140306000159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306279203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 101301 (New York) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 101301 (New York) | Primary |
| Provider Name | Mehrdad Hedayatnia |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1679565063 PECOS PAC ID: 7911992805 Enrollment ID: I20040419001603 |
| Provider Name | Laurian Jacoby |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1851327308 PECOS PAC ID: 4688664873 Enrollment ID: I20040518000833 |
| Provider Name | Marsha Fridman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811052681 PECOS PAC ID: 7618079393 Enrollment ID: I20110922000141 |
| Provider Name | Joy T Mullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003165911 PECOS PAC ID: 2769621119 Enrollment ID: I20130617000298 |
| Provider Name | Mohsen Tahani |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1235441619 PECOS PAC ID: 8628202256 Enrollment ID: I20170908000355 |
| Provider Name | Ankeet A Choxi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649513268 PECOS PAC ID: 3173890019 Enrollment ID: I20171016000186 |
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