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:
Health care specialties
| Specialty | Code | License # | 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 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083604888 | NPPES |
| Pennsylvania | MEDICAID | 1017731920001 |
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