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MRS. MARIA JEAN MIRISSIS MASSAGE THERAPIST
NPI 1003391665
Massage Therapist in Northport, NY

Active since September 30, 2018
10 FORT SALONGA RD STE 2A, NORTHPORT, NY 11768(631) 343-9194 Get Directions Write a Review

NPPES record last updated: September 30, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Maria Jean Mirissis Massage Therapist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARIA JEAN MIRISSIS MASSAGE THERAPIST (NPI 1003391665) is an individual massage therapist in Northport, New York, licensed in New York (006241) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1003391665
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMRS. MARIA JEAN MIRISSISCredential: MASSAGE THERAPIST
Location Address10 FORT SALONGA RD STE 2ANorthport, NY 11768-1465
Mailing Address10 Fort Salonga Rd Ste 2aNorthport, NY 11768-1465 · (631) 343-9194
Phone(631) 343-9194
Sole ProprietorYes
Enumeration DateSeptember 30, 2018
✔ NPI 1003391665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in NY · 006241
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
10 FORT SALONGA RD STE 2A, Northport, NY 11768
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY PAPE
Physical Therapist
10 FORT SALONGA RD STE 2A
FORT SALONGA, NY 11768
Suffolk County (631) 343-9194
SUZANNE FISCHER LMT
Massage Therapist
10 FORT SALONGA RD STE 2A
FORT SALONGA, NY 11768
Suffolk County (631) 343-7174
ALYSSA GLICA LMT, CHHC
Massage Therapist
10 FORT SALONGA RD STE 2A
NORTHPORT, NY 11768
Suffolk County (631) 343-9194
DEVINE PHYSICAL THERAPY, ACUPUNCTURE AND MASSAGE THERAPY, PLLC
Clinic/Center (Multi-Specialty)
10 FORT SALONGA RD STE 2A
FORT SALONGA, NY 11768
Suffolk County (631) 320-1100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maria Mirissis's NPI number?

The NPI number for Maria Mirissis is 1003391665. It was assigned to this individual provider in the NPPES registry on September 30, 2018.

Where is Maria Mirissis located?

Maria Mirissis practices at 10 Fort Salonga Rd Ste 2A, Northport, NY 11768. The listed phone number is (631) 343-9194.

What is Maria Mirissis's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Maria Mirissis was last updated on September 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.