Provider Demographics
NPI:1124915210
Name:NASSAU COUNTY NEW YORK MASSAGE THERAPY PC
Entity type:Organization
Organization Name:NASSAU COUNTY NEW YORK MASSAGE THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARKISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BECKFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-699-2943
Mailing Address - Street 1:450 SUNRISE HWY
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-5053
Mailing Address - Country:US
Mailing Address - Phone:516-699-2943
Mailing Address - Fax:
Practice Address - Street 1:450 SUNRISE HWY
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-5053
Practice Address - Country:US
Practice Address - Phone:516-699-2943
Practice Address - Fax:516-269-8958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty