NPI 1154862506

Mariana Mussa

Practitioner Dental Hygienist Staten Island, NY

Practice location

Address: 439 Port Richmond Ave, Staten Island, NY 10302-1714
Phone: (917) 830-0838
Mailing address: 58 Locust Ave, North Arlington, NJ 07031-5513

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 0287431 (NY)

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Registry record

NPI: 1154862506
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Mar 2017
Record last updated: 18 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.