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General NPI Number Information
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NPI Number | 1790322477
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Entity Type | Organization
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Legal Business Name | BAY RIDGE MEDICAL CARE PLLC
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Dates
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Enumeration Date | 12/02/2019
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 370 BAY RIDGE PKWY LOWR LEVEL
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City | BROOKLYN
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State | NY
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Zip | 11209-3176
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Country | US
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Telephone | 718-833-0033
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Fax |
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Provider Business Mailing Address
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Address Line | 116 SANDFORD ST
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City | BROOKLYN
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State | NY
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Zip | 11205-2987
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Country | US
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Telephone | 718-833-0033
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MEHRDAD HEDAYATNIA
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Credential | MD
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Telephone | 718-833-7246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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