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Contact Information

MARIAM ATIA, DO
1300 ROANOKE AVE
RIVERHEAD, NY11901-2058
 Phone: 631-727-1600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MARIAM ATIA · (Female)

NPI # 1790247005
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/04/2019
Last updated 07/15/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NY License # 314011
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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