NPI

Mariam Atia

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
DO
Type
Individual
Enumeration date
2019-04-04
Last updated
2024-07-15

Specialties

Licenses

License NY
314011
License NY
314011

Location

Practice location
1300 Roanoke Ave
City
Riverhead NY
Postal code
11901-2058
Phone
(631) 727-1600

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Riverhead, NY. 1,242 records in the public file.

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Public data from NPPES and CMS. Not a credentialing determination.

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