MARIEVIC B EBORA FERNANDO

Dr MARIEVIC B EBORA FERNANDO is a female medical professional, specializing in Physical Therapy. She graduated in 2001.

Contact

20801 NORTHERN BLVD
SUITE 301
BAYSIDE
NY
113613118

Tel:

MARIEVIC B EBORA FERNANDO Information

Npi 1629236278
Pac Id 6709917925
Professional Enrollment Id I20100701000221
Last Name EBORA FERNANDO
First Name MARIEVIC
Middle Name B
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2001
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 20801 NORTHERN BLVD
Line 2 Street Address SUITE 301
Marker Of Address Line 2 Suppression
City BAYSIDE
State NY
Zip Code 113613118
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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