Provider Demographics
NPI:1073109229
Name:NEW HEALING TOUCH MASSAGE LLC
Entity Type:Organization
Organization Name:NEW HEALING TOUCH MASSAGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMT
Authorized Official - Prefix:MR
Authorized Official - First Name:CALVIN
Authorized Official - Middle Name:H
Authorized Official - Last Name:CANALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-603-5807
Mailing Address - Street 1:535 SECATOGUE AVE
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-4335
Mailing Address - Country:US
Mailing Address - Phone:516-603-5807
Mailing Address - Fax:
Practice Address - Street 1:535 SECATOGUE AVE
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-4335
Practice Address - Country:US
Practice Address - Phone:516-603-5807
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-11
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain
No253Z00000XAgenciesIn Home Supportive Care