Cathleen P Russo, LMT
Individual provider Active NPI Massage Therapist · Williston Park, NY
NPI 1154099042 · NPPES record last updated Sep 3, 2021
Key facts
- NPI
- 1154099042
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 031790-01 (NY)
- Practice address
- 64 Capitol Ave
Williston Park, NY 11596-1621 - Phone
- (516) 302-3460
- NPI assigned
- Sep 3, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031790-01 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caring Professional Approach Massage PC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 031790-01 | NY | Yes |
Addresses
Primary practice location
64 Capitol Ave
Williston Park, NY 11596-1621
Mailing address
64 Capitol Ave
Williston Park, NY 11596-1621
Phone (516) 302-3460
Other providers in Williston Park, NY
- Susan Rubenstein
- Jennifer Elyse Rubin
- Bruce A Rudin
- Jessica Rupp
- Russell Hu Physical Therapy
- Maura N Ryan
- S.E.E.D.S. of the Willistons Inc.
- Jessica Schellig
- Joseph Schiera
- Sheri Elena Scott Calleo
All providers in Williston Park, NY · Massage Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.