Cristel Viviana Acosta, LICENSED MASSAGE THE

Individual provider Active NPI Massage Therapist · Rockville Centre, NY

NPI 1285240267 · NPPES record last updated Sep 16, 2020

Key facts

NPI
1285240267
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
030698-01 (NY)
Practice address
55 Maple Ave
Rockville Centre, NY 11570
Phone
(516) 705-8836
NPI assigned
Sep 16, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
030698-01NYMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 030698-01 NY Yes

Addresses

Primary practice location

55 Maple Ave
Rockville Centre, NY 11570

Mailing address

87-87 144 St Apt 3a
Jamaica, Queens, NY 11435
Phone (347) 520-2116

Other providers in Rockville Centre, NY

All providers in Rockville Centre, NY · Massage Therapist in New York

Sources for this page

Verify at the official NPI Registry.