Individual
DR. FAROOQ MIRZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
177 FORT WASHINGTON AVE, NEW YORK, NY 10032-3733
(319) 353-6425
Mailing address
177 FORT WASHINGTON AVE, NEW YORK, NY 10032-3733
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
290942
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
25MA12971100
NJ
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
290942
NY
Other
Enumeration date
06/07/2011
Last updated
01/13/2026
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