Individual
DR. FARHAJ MIRZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
54 COMMERCE DR, SUITE 1, RIVERHEAD, NY 11901
(631) 591-3243
Mailing address
54 COMMERCE DRIVE, SUITE 1, RIVERHEAD, NY 11901-4454
(631) 591-3243
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
057855-1
NY
Other
Enumeration date
08/14/2012
Last updated
07/21/2022
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