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Mariam Atia, DO
Student in an Organized Health Care Education/Training Program in Riverhead, New York
NPI 1790247005

Mariam Atia is a Student in an Organized Health Care Education/Training Program based in Staten Island, NY. Mariam Atia practices in Riverhead, NY and has the professional credentials of DO. The NPI Number for Mariam Atia is 1790247005 and holds a License No. (New York).

The current practice location address for Mariam Atia is 1300 Roanoke Ave, Riverhead, NY and can be reached out via phone at 631-727-1600.

Location: 1300 Roanoke Ave, Riverhead, NY, 10314-5426
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790247005
Provider Name
Mariam Atia
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1300 Roanoke Ave, Riverhead, NY, 10314-5426
Phone Number
631-727-1600
Fax Number
Provider Enumeration Date
04/04/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1300 Roanoke Ave
City
Riverhead
State
New York
Zip
11901-2058
Phone Number
631-727-1600
Fax Number
person
Provider Business Mailing Address Details
Address
1300 Roanoke Ave
City
Riverhead
State
New York
Zip
11901-2058
Phone Number
631-727-1600
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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