Provider Demographics
NPI:1083410773
Name:ROYALBODI MASSAGE AND BEAUTY
Entity type:Organization
Organization Name:ROYALBODI MASSAGE AND BEAUTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUMAPAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-899-0831
Mailing Address - Street 1:409 FORT SALONGA RD
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11768-3045
Mailing Address - Country:US
Mailing Address - Phone:772-899-8428
Mailing Address - Fax:347-719-8000
Practice Address - Street 1:409 FORT SALONGA RD
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11768-3045
Practice Address - Country:US
Practice Address - Phone:772-899-8428
Practice Address - Fax:347-719-8000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-22
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty