DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. MARIA JEAN MIRISSIS, MASSAGE THERAPIST

Active Sole Proprietor

MRS. MARIA JEAN MIRISSIS, MASSAGE THERAPIST is a Massage Therapist healthcare provider located in NORTHPORT, New York. NPI 1003391665 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · NORTHPORT, NY

Registration Details

NPI Number
1003391665
Provider Type
Individual
Gender
Female
NPI Issued
Sep 30, 2018 (7.8890846060025 yrs)
Last Updated
Sep 30, 2018
License
006241 (NY)
Sole Proprietor
Yes

Practice Information

Address
10 FORT SALONGA RD STE 2A
NORTHPORT, NY, 117681465
Browse NY providers · Browse ZIP 11768
Phone
6313439194
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in NORTHPORT, NY

Name Credential NPI
SHANA LEE LEVIN LMT 1467689380
CHRISTINE M SPANBAUER LMT 1245526912
LAUREL ANN KASINDORF LMT 1386154607
ALYSSA GLICA LMT, CHHC 1821575408
JANNETTE LANIGAN LMT 1306314083
ANDREA N LOHMAN LMT 1336720978
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.