Provider Demographics
NPI:1245395227
Name:OXIOS, MARISA JEANNE (RD)
Entity Type:Individual
Prefix:MRS
First Name:MARISA
Middle Name:JEANNE
Last Name:OXIOS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 BALSAM LN
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-4802
Mailing Address - Country:US
Mailing Address - Phone:516-860-7040
Mailing Address - Fax:
Practice Address - Street 1:185 MERRITTS RD
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-3254
Practice Address - Country:US
Practice Address - Phone:516-860-7040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered