MRS. SUSANNA DE JESUS LMT
NPI 1790364859
Massage Therapist in North Babylon, NY

Active since April 06, 2021
1147 DEER PARK AVE UNIT A, NORTH BABYLON, NY 11703(631) 402-4680 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Susanna De Jesus Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SUSANNA DE JESUS LMT (NPI 1790364859) is an individual massage therapist in North Babylon, New York, licensed in New York (027958-1) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1790364859
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMRS. SUSANNA DE JESUSCredential: LMT
Location Address1147 DEER PARK AVE UNIT ANorth Babylon, NY 11703-3103
Mailing Address91 Ryder AveNorth Babylon, NY 11703-2223 · (631) 935-3776
Sole ProprietorYes
Enumeration DateApril 6, 2021
NPPES CertifiedApril 6, 2021
NPI 1790364859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in NY · 027958-1
Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

1147 DEER PARK AVE UNIT A, North Babylon, NY 11703

Other Names 1

Former Name (1)Susanna Vasquez Lmt

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Acupuncturist
1147 DEER PARK AVE UNIT A
NORTH BABYLON, NY 11703
Acupuncturist
1147 DEER PARK AVE UNIT A
NORTH BABYLON, NY 11703
Acupuncturist
1147 DEER PARK AVE UNIT A
NORTH BABYLON, NY 11703
Acupuncturist
1147 DEER PARK AVE UNIT A
NORTH BABYLON, NY 11703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790364859, enumerated as an "individual" on April 06, 2021.

The provider is located at 1147 DEER PARK AVE UNIT A NORTH BABYLON, NY 11703 and the phone number is (631) 402-4680.

Massage Therapist with taxonomy code 225700000X.