Provider Demographics
NPI:1295471282
Name:MANHATTAN MASSAGE COMPANY
Entity Type:Organization
Organization Name:MANHATTAN MASSAGE COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MASSAGE THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LUGO
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:631-848-2759
Mailing Address - Street 1:33 OAK DR
Mailing Address - Street 2:
Mailing Address - City:BAITING HOLLOW
Mailing Address - State:NY
Mailing Address - Zip Code:11933-1106
Mailing Address - Country:US
Mailing Address - Phone:631-848-2759
Mailing Address - Fax:
Practice Address - Street 1:33 OAK DR
Practice Address - Street 2:
Practice Address - City:BAITING HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:11933-1106
Practice Address - Country:US
Practice Address - Phone:631-848-2759
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MANHATTAN MASSAGE COMPANY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-05-11
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty