Organization
MASSAGE THERAPIST LONG ISLAND PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA MILTCHEVA LMT (MANAGER)
(516) 887-8900
Entity
Organization
Contact information
Practice address
114 BROADWAY, MALVERNE, NY 11565-1635
(516) 887-8900
(516) 200-0100
Mailing address
114 BROADWAY, MALVERNE, NY 11565-1635
(516) 887-8900
(516) 200-0100
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/22/2026
Last updated
07/22/2026
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