Individual
MARIYAM WASAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
994 W JERICHO TPKE STE 104, SMITHTOWN, NY 11787-3211
(631) 543-1440
Mailing address
994 W JERICHO TPKE STE 104, SMITHTOWN, NY 11787-3211
(631) 543-1440
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
34.015632
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
04/10/2018
Last updated
06/02/2025
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