Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Bayside Pain & Rehabilitation Medicine, PC

Organization Psychiatry Physician · NPI 1356580039

Bayside Pain & Rehabilitation Medicine, PC provides Psychiatry Physician services in Flushing, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

142-29 37 Ave (basement)
Flushing, NY 11354 Not confirmed with CMS for 17 years — call before visiting
Phone: (718) 463-1133
Fax: (718) 463-6392
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 200978 (NY)

Record details

NPI number1356580039
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ki Park — President · (718) 463-1133
Other names Dba) Dr. Park'S Comprehensive Pain Clinic
NPI enumeratedFebruary 19, 2009
Last updated in NPPESJune 2, 2009
Mailing address142-29 37 Ave., Basement), Flushing, NY 11354

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