Provider Demographics
NPI:1003974569
Name:BAERINGER, CINDY DENISE (MA PT)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:DENISE
Last Name:BAERINGER
Suffix:
Gender:F
Credentials:MA PT
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:218 FULTON ST
Mailing Address - Street 2:APT 1C
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735
Mailing Address - Country:US
Mailing Address - Phone:516-694-1093
Mailing Address - Fax:
Practice Address - Street 1:218 FULTON ST
Practice Address - Street 2:APT 1C
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735
Practice Address - Country:US
Practice Address - Phone:516-694-1093
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0137211225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ36251Medicare ID - Type Unspecified