# NJ NYC MEDICAL REHAB PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568866127
- **Authorized official:** MUHAMMAD MIRZA MD (PRESIDENT)
- **Authorized official phone:** (914) 376-6100

## Contact information

- **Practice address:** 23-08 MAPLE AVE, FAIR LAWN, NJ 07410-1583
- **Practice address phone:** (914) 376-6100
- **Practice address fax:** (914) 470-5056
- **Mailing address:** 23-08 MAPLE AVE, FAIR LAWN, NJ 07410-1583
- **Mailing address phone:** (914) 376-6100
- **Mailing address fax:** (914) 470-5056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 10/10/2014
- **Last updated:** 10/10/2014