Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bayside Acupuncture & Physical Therapy PLLC

Organization Acupuncturist · NPI 1205364239

Bayside Acupuncture & Physical Therapy PLLC is an Acupuncturist in Bayside, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20801 Northern Blvd Ste 301
Bayside, NY 11361-3118
Phone: (718) 224-2250
Fax: (917) 398-1875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 034901 (NY)
Acupuncturist Taxonomy 171100000X · Licence 005738 (NY)
Massage Therapist Taxonomy 225700000X · Licence 027555 (NY)

Record details

NPI number1205364239
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marievic Ebora Fernando — Managing Member · (718) 224-2250
NPI enumeratedJune 4, 2017
Last updated in NPPESJuly 21, 2022
Certification dateFebruary 24, 2020
Mailing address20801 Northern Blvd Ste 301, Bayside, NY 11361-3118

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