MEDICARE: MANOELRIBEIRO PAIN MANAGEMENT MEDICINE P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician
2	2084P2900X	Pain Medicine (Psychiatry & Neurology) Physician
3	208VP0014X	Interventional Pain Medicine Physician

General Provider Information

NPI Number	:	1245597467
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MANOELRIBEIRO PAIN MANAGEMENT MEDICINE P.C.

Provider Business Mailing Address
First Line	:	7020 YELLOWSTONE BLVD
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-3500
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	951 BROOK AVENUE SUITE 203
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10451-3500
Country	:	US
Telephone Number	:	718-993-5893
Fax Number	:	718-993-2017

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SADY RIBEIRO
Credential	:	M.D.
Telephone Number	:	718-453-0165

Provider Enumeration Date	:	04/12/2012
Last Update Date	:	01/27/2017

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