Individual
MARIAH LEIGH MESSINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
31 MAIN RD STE 2, RIVERHEAD, NY 11901-1953
(631) 740-9273
Mailing address
47 DEEP HOLE RD, CALVERTON, NY 11933-1431
(631) 466-4294
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
024517
NY
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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