Ribeiro, Sady Theodoro

Ribeiro, Sady Theodoro is an individual health care provider with primary practice located at 3244 31St St , Long Island City NY 11106-2561. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Ribeiro, Sady Theodoro can be contacted via phone (347) 229-3331.

Contact Information

Primary practice address
3244 31St St Long Island City NY 11106-2561
Phone: (347) 229-3331
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X J4668 Texas
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X J4668 Texas
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 240842-1 New York
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X BR3724514 Pennsylvania
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X BR3724514 Pennsylvania
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 240842 New York

Profile Details

NPI number 1083604888
LBN Legal business name Ribeiro, Sady Theodoro
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Nov 29th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083604888 NPPES
Pennsylvania MEDICAID 1017731920001

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