Organization Active NPI

SB Holistic Hands LLC

  • Massage Therapist
  • Stony Brook, NY
National Provider Identifier
1972161339
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
SB HOLISTIC HANDS LLC
Practice address
2500 Nesconset Hwy BLDG 9B
Stony Brook, NY 11790-2553
Phone
(631) 689-0049
Fax
(631) 689-0071
NPI assigned
May 31, 2019
Organization subpart
Yes
Parent organization
SB HOLISTIC HANDS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 31, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Brandon Henkowicz, DCNPI 1447514609
Title
President
Phone
(631) 689-0049

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

2500 Nesconset Hwy BLDG 9B
Stony Brook, NY 11790-2553

Mailing address

2500 Nesconset Hwy BLDG 9B
Stony Brook, NY 11790-2553
Phone (631) 689-0049

National Provider Directory

National Provider Directory
Part of
SB Holistic Hands LLC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559260800000",
    "number": "1972161339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY BLDG 9B",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902553",
            "telephone_number": "631-689-0049",
            "fax_number": "631-689-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY BLDG 9B",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902553",
            "telephone_number": "631-689-0049",
            "fax_number": "631-689-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SB HOLISTIC HANDS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SB HOLISTIC HANDS LLC",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A",
        "authorized_official_last_name": "HENKOWICZ",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-689-0049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.