Healthcare Provider Details

I. General information

NPI: 1124915210
Provider Name (Legal Business Name): NASSAU COUNTY NEW YORK MASSAGE THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2025
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 SUNRISE HWY
ROCKVILLE CENTRE NY
11570-5053
US

IV. Provider business mailing address

450 SUNRISE HWY
ROCKVILLE CENTRE NY
11570-5053
US

V. Phone/Fax

Practice location:
  • Phone: 516-699-2943
  • Fax: 516-269-8958
Mailing address:
  • Phone: 516-699-2943
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MISS MARKISHA BECKFORD
Title or Position: PRESIDENT
Credential:
Phone: 516-699-2943