Bayside Pain Management PC
Organization Active NPI Pain Medicine Physician · Deer Park, NY
NPI 1184008658 · NPPES record last updated Jul 15, 2015
Key facts
- NPI
- 1184008658
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine Physician 208VP0000X
- License
- 243366 (NY)
- Legal business name
- BAYSIDE PAIN MANAGEMENT PC
- Practice address
- 247 W 16TH St
Deer Park, NY 11729-5819 - Phone
- (646) 982-7281
- NPI assigned
- Jul 15, 2015
- Organization subpart
- No
Authorized official
- Name
- Aristide Burducea, D.O.
- Title
- President
- Phone
- (718) 220-0439
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Bayside Pain Management
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician |
208VP0000X | 243366 | NY | Yes |
Addresses
Primary practice location
247 W 16TH St
Deer Park, NY 11729-5819
Mailing address
247 W 16TH St
Deer Park, NY 11729-5819
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03032322 | Medicaid | NY |
Other providers in Deer Park, NY
- Babylon PT, Family Health NP and Chiropractic PLLC
- Babylon Surg Supply Inc
- Ryan Edward Baker
- Jillian Ballin
- Madeline Ferraro Barbarotto
- Be Well Ny Acupuncture PLLC
- Gloria Sophia Bean
- Herlande Beaubrun
- Darlene Beaucicot
- Bee Bright Therapy, SLP, PLLC
All providers in Deer Park, NY · Pain Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.