# MIRZA MEDICAL SERVICES PLLC

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

## Provider details

- **NPI number:** 1689463713
- **Authorized official:** ABDUL-SAMAD MIRZA MD,DO (OWNER)
- **Authorized official phone:** (516) 808-2535

## Contact information

- **Practice address:** 25913 HILLSIDE AVE, FLORAL PARK, NY 11004-1622
- **Practice address phone:** (516) 321-0956
- **Mailing address:** 107 MITCHEL FIELD WAY, GARDEN CITY, NY 11530-5034
- **Mailing address phone:** (516) 808-2535

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/05/2025
- **Last updated:** 05/05/2025