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Bayside Acupuncture & Physical Therapy Pllc

Physical Therapist in Bayside, NY · enumerated 2017 · authorized official Marievic Ebora Fernando, Managing Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205364239

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Registry record

Entity type Organization (Type 2)
Legal business name Bayside Acupuncture & Physical Therapy Pllc
Practice address 20801 Northern Blvd Ste 301, Bayside, NY, 11361
Fax (917) 398-1875
Enumeration date Jun 4, 2017
Last updated in NPPES Jul 21, 2022

Taxonomy & classification

171100000X Acupuncturist Other Service Providers · License 005738 (NY) Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 034901 (NY) Primary
225700000X Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 027555 (NY) Secondary

Authorized official

Name Marievic Ebora Fernando
Title Managing Member

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-07-21. Verify at npiregistry.cms.hhs.gov.
Where is Bayside Acupuncture & Physical Therapy Pllc located?
The practice location on file with NPPES is in Bayside, NY.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.