MEDICARE: PROLUX HEALTH & FITNESS INC

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	:	1831058122
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROLUX HEALTH & FITNESS INC

Provider Business Mailing Address
First Line	:	418 BROADWAY STE N
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12207-2922
Country	:	US
Telephone Number	:	347-384-7488
Fax Number	:

Provider Business Practice Location Address
First Line	:	461 DEAN ST # 4616
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11217-1329
Country	:	US
Telephone Number	:	347-934-6330
Fax Number	:

Authorized Official
Title or Position	:	CEO/ LEAD THERAPIST
Name	:	EVANS RESILIEN
Credential	:	L.M.T
Telephone Number	:	347-384-7488

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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