Individual provider · Type 1 NPI

Oleg Polyakov

Massage Therapist · New York, NY

NPI number 1396693685 Active

Practice location

873 Broadway
New York, NY 10003-1231

Call (917) 596-1443 Map

Mailing address

108-136 Mlk Jr Blvd Apt 1513
Newark, NJ 07104-5367

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X032225 (NY)

Massage Therapist: 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.

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About NPI 1396693685

Oleg Polyakov's National Provider Identifier is 1396693685, issued on Mar 20, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in New York, NY. The record was last updated on Mar 20, 2026.