Marissa Maliakal Anto
Child Neurologist
3401 Civic Center Blvd Division Of Pediatric Headache Medicine
Philadelphia
, Pennsylvania 19104
Marissa Maliakal Anto
Child Neurologist
3401 Civic Center Blvd Division Of Pediatric Headache Medicine
Philadelphia
, Pennsylvania 19104
(516) 661-5143
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About
Features
Specialties
- Child Neurologist
Languages spoken
- English
Location
First Address
- Marissa Maliakal Anto
- 41 Windsor Dr
- Jericho, NY
- Zip : 11753-1327
- Phone : (516) 661-5143
Second Address
- Marissa Maliakal Anto
- 3401 Civic Center Blvd Division Of Pediatric Headache Medicine
- Philadelphia, PA
- Zip : 19104
- Phone : (267) 825-3170
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0402X | Child Neurologist | MD472478 | PA |
National Provider Identifier
| NPI | 1114380128 |
|---|---|
| Provider Name | Marissa Maliakal Anto |
| First Address | Jericho, NY 11753-1327 |
| Second Address | Philadelphia, PA 19104 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/03/2016 |
| Last Update Date | 12/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.