Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Maria Jean Mirissis, MASSAGETHERAPIST

Individual provider Massage Therapist · NPI 1003391665

Mrs. Maria Jean Mirissis, MASSAGETHERAPIST is a Massage Therapist in Northport, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018

Practice location Address checks out

10 Fort Salonga Rd Ste 2A
Northport, NY 11768-1465
Phone: (631) 343-9194
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 006241 (NY)

Record details

NPI number1003391665
Entity typeIndividual (Type 1)
GenderFemale
Credentials MASSAGETHERAPIST
Sole proprietorYes
NPI enumeratedSeptember 30, 2018
Last updated in NPPESSeptember 30, 2018

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