Provider Demographics
NPI:1891676581
Name:PINK LOTUS THERAPEUTIC MASSAGE P.C.
Entity type:Organization
Organization Name:PINK LOTUS THERAPEUTIC MASSAGE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASSAGE THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:SAVITRI
Authorized Official - Middle Name:
Authorized Official - Last Name:RESAL
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:917-545-6513
Mailing Address - Street 1:9338 SPRINGFIELD BLVD
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11428-1859
Mailing Address - Country:US
Mailing Address - Phone:917-545-6513
Mailing Address - Fax:516-822-9794
Practice Address - Street 1:1181 OLD COUNTRY RD
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-5018
Practice Address - Country:US
Practice Address - Phone:917-545-6513
Practice Address - Fax:516-822-9794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty