Organization
M ATHER MIRZA PC
Active
Organization
M ATHER MIRZA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED ATHER MIRZA MD (OWNER)
(631) 361-5302
Entity
Organization
Contact information
Practice address
290 E MAIN ST STE 200, SMITHTOWN, NY 11787-2916
(631) 361-5302
(631) 361-8607
Mailing address
290 E MAIN ST STE 200, SMITHTOWN, NY 11787-2916
(631) 361-5302
(631) 361-8607
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
04/02/2008
Last updated
12/31/2019
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