Healthcare Provider Details

I. General information

NPI: 1710893722
Provider Name (Legal Business Name): MASSAGE THERAPY LONG ISLAND PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 W MAIN ST STE 1
BABYLON NY
11702-3018
US

IV. Provider business mailing address

210 W BELLE TERRE AVE
LINDENHURST NY
11757-6435
US

V. Phone/Fax

Practice location:
  • Phone: 631-682-7619
  • Fax:
Mailing address:
  • Phone: 631-682-7619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: MELANIE SCOLA
Title or Position: OWNER, MASSAGE THERAPIST
Credential: LMT
Phone: 631-682-7619