Provider Demographics
NPI:1578057055
Name:MESSIAS, MARIA ANGELA
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:ANGELA
Last Name:MESSIAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 NEWTON AVE
Mailing Address - Street 2:
Mailing Address - City:UNIONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11553-2934
Mailing Address - Country:US
Mailing Address - Phone:516-331-2914
Mailing Address - Fax:
Practice Address - Street 1:725 NEWTON AVE
Practice Address - Street 2:
Practice Address - City:UNIONDALE
Practice Address - State:NY
Practice Address - Zip Code:11553-2934
Practice Address - Country:US
Practice Address - Phone:516-331-2914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-19
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide