Healthcare Provider Details

I. General information

NPI: 1467378489
Provider Name (Legal Business Name): ANNA MASSAGE THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1040 OLD COUNTRY RD STE 22
PLAINVIEW NY
11803-4917
US

IV. Provider business mailing address

6 ALGIERS ST
PLAINVIEW NY
11803-6305
US

V. Phone/Fax

Practice location:
  • Phone: 347-738-3251
  • Fax: 516-324-3250
Mailing address:
  • Phone: 347-738-3251
  • Fax: 516-324-3250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ANNA OH
Title or Position: OWNER
Credential: LMT
Phone: 347-738-3251