Provider Demographics
NPI:1750526018
Name:ARISS-MESA, MARIA ELENA (MS/CCC/SLP)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:ELENA
Last Name:ARISS-MESA
Suffix:
Gender:F
Credentials:MS/CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 VIOLET AVE
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-1748
Mailing Address - Country:US
Mailing Address - Phone:516-433-3488
Mailing Address - Fax:
Practice Address - Street 1:26 VIOLET AVE
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-1748
Practice Address - Country:US
Practice Address - Phone:516-433-3488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-15
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY05791235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist