Active NPIIndividual providerSole proprietor

Marissa Miller

Occupational Therapist, Pediatrics in Staten Island, New York

NPI Number1518232636
Practice location
54 Osborne St, Staten Island, NY 10312-5508
Fax
—
Last updated
March 22, 2012

Marissa Miller is an Occupational Therapist, Pediatrics based in Staten Island, NY. Marissa Miller practices in Staten Island, NY. The NPI Number for Marissa Miller is 1518232636 and holds a License No. 016875-1 (NY). The current practice location address for Marissa Miller is 54 Osborne St, Staten Island, NY 10312-5508 and can be reached out via phone at 718-356-2211.

Provider Profile Details

NPI Number
1518232636
Provider Name
Marissa Miller
Provider Entity Type
Individual
Gender
Female
Address
54 Osborne St, Staten Island, NY 10312-5508
Phone Number
718-356-2211
Primary Taxonomy
Occupational Therapist, Pediatrics · 225XP0200X
Sole Proprietor
Yes
Provider Enumeration Date
March 22, 2012
Last Update Date
March 22, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
54 Osborne St
Staten Island, NY 10312-5508
Zip
10312-5508
Phone Number
718-356-2211
Staten Island, NY 10312Get directions →

Provider Business Mailing Address Details

Address
125 Clinton St
Apt 2
Hoboken, NJ 07030-2529
City
Hoboken
State
NJ
Zip
07030-2529

License Information

License Number
016875-1
License State
NY
Taxonomy
Occupational Therapist, Pediatrics · 225XP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marissa Miller?

The NPI number of Marissa Miller is 1518232636. It was assigned on March 22, 2012 and is currently active in the NPPES registry.

What is the specialty of Marissa Miller?

Marissa Miller is registered under the primary taxonomy Occupational Therapist, Pediatrics (code 225XP0200X), licensed in NY under license number 016875-1.

Where does Marissa Miller practice?

The practice location is 54 Osborne St, Staten Island, NY 10312-5508. The office can be reached at 718-356-2211 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518232636 directly on the NPPES registry website.

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