Individual
MARIANA MUSSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
439 PORT RICHMOND AVE, STATEN ISLAND, NY 10302-1714
(917) 830-0838
Mailing address
58 LOCUST AVE, NORTH ARLINGTON, NJ 07031-5513
(201) 927-8185
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0287431
NY
Other
Enumeration date
03/18/2017
Last updated
03/18/2017
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