MEDICARE: SUSAN LUPIA, MASSAGE THERAPY, PLLC

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	:	1821947425
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUSAN LUPIA, MASSAGE THERAPY, PLLC

Provider Business Mailing Address
First Line	:	50 GERARD ST STE 222
Second Line	:
City	:	HUNTINGTON
State	:	NY
Zip	:	11743-7059
Country	:	US
Telephone Number	:	631-304-6742
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 GERARD ST STE 222
Second Line	:
City	:	HUNTINGTON
State	:	NY
Zip	:	11743-7059
Country	:	US
Telephone Number	:	631-304-6742
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	SUSAN LUPIA
Credential	:	LMT
Telephone Number	:	631-304-6742

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	02/06/2026

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