MEDICARE: MEADOWSWEET MASSAGE THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1730046335
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEADOWSWEET MASSAGE THERAPY

Provider Business Mailing Address
First Line	:	30 LEE AVE
Second Line	:
City	:	PATCHOGUE
State	:	NY
Zip	:	11772-3623
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1461 LAKELAND AVE UNIT 9
Second Line	:
City	:	BOHEMIA
State	:	NY
Zip	:	11716-2174
Country	:	US
Telephone Number	:	631-672-1616
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SUZANNE BOGDANOWICH
Credential	:	LMT
Telephone Number	:	631-672-1616

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

Similar Medicare Providers

1356309603 — DR. ENOCH CHUNG CHAN MD
Practice Location Address:

1461 LAKELAND AVE UNIT 14
BOHEMIA, NY
11716-2174

Practice Phone: 631-218-8800
Practice Fax: 631-218-8801

1578659058 — JOSEPH VOLLARO PH.D.
Practice Location Address:

1461 LAKELAND AVE UNIT 12
BOHEMIA, NY
11716-2174

Practice Phone: 631-732-4794
Practice Fax: 631-732-0355

1164518148 — MAUREEN VOLLARO LCSW
Practice Location Address:

1461 LAKELAND AVE , SUITE 12
BOHEMIA, NY
11716-2174

Practice Phone: 631-742-8729
Practice Fax: 631-732-0355

1972717452 — RES COMPANY, INC.
Practice Location Address:

1461 LAKELAND AVE , SUITE 12
BOHEMIA, NY
11716-2174

Practice Phone: 631-732-4794
Practice Fax: 631-732-0355

1124220975 — RESTBISERVICES INC.
Practice Location Address:

1461 LAKELAND AVE , SUITE 12
BOHEMIA, NY
11716-2174

Practice Phone: 631-732-4794
Practice Fax: 631-732-4794

1285824821 — BEST CHOICE MEDICAL PC
Practice Location Address:

1461 LAKELAND AVE UNIT 14
BOHEMIA, NY
11716-2174

Practice Phone: 631-218-8800
Practice Fax: 631-218-8801

Directions to “MEADOWSWEET MASSAGE THERAPY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.