Mrs. Maria Jean Mirissis
Massage Therapist
10 Fort Salonga Rd Ste 2a
Northport
, New York 11768-1465
Mrs. Maria Jean Mirissis
Massage Therapist
10 Fort Salonga Rd Ste 2a
Northport
, New York 11768-1465
(631) 343-9194
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Mrs. Maria Jean Mirissis
- 10 Fort Salonga Rd Ste 2a
- Northport, NY
- Zip : 11768-1465
- Phone : (631) 343-9194
Second Address
- Mrs. Maria Jean Mirissis
- 10 Fort Salonga Rd Ste 2a
- Northport, NY
- Zip : 11768-1465
- Phone : (631) 343-9194
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 006241 | NY |
National Provider Identifier
| NPI | 1003391665 |
|---|---|
| Provider Name | Mrs. Maria Jean Mirissis |
| First Address | Northport, NY 11768-1465 |
| Second Address | Northport, NY 11768-1465 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/09/2018 |
| Last Update Date | 30/09/2018 |
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.