Healthcare Provider Details

I. General information

NPI: 1891676581
Provider Name (Legal Business Name): PINK LOTUS THERAPEUTIC MASSAGE P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2025
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1181 OLD COUNTRY RD
PLAINVIEW NY
11803-5018
US

IV. Provider business mailing address

9338 SPRINGFIELD BLVD
QUEENS VILLAGE NY
11428-1859
US

V. Phone/Fax

Practice location:
  • Phone: 917-545-6513
  • Fax: 516-822-9794
Mailing address:
  • Phone: 917-545-6513
  • Fax: 516-822-9794

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. SAVITRI RESAL
Title or Position: MASSAGE THERAPIST
Credential: LMT
Phone: 917-545-6513