Healthcare Provider Details

I. General information

NPI: 1508513219
Provider Name (Legal Business Name): THE MASSAGE APPROACH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2022
Last Update Date: 03/03/2022
Certification Date: 03/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 VETERANS MEMORIAL HWY STE 10
COMMACK NY
11725-4300
US

IV. Provider business mailing address

340 VETERANS MEMORIAL HWY STE 10
COMMACK NY
11725-4300
US

V. Phone/Fax

Practice location:
  • Phone: 631-776-3019
  • Fax: 516-776-3018
Mailing address:
  • Phone: 631-776-3019
  • Fax: 516-776-3018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. DIANA LOUISE MASLAUSKAS
Title or Position: OWNER
Credential: LMT, CH
Phone: 631-776-3019