Organization
NJ NYC MEDICAL REHAB PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD MIRZA MD (PRESIDENT)
(914) 376-6100
Entity
Organization
Contact information
Practice address
23-08 MAPLE AVE, FAIR LAWN, NJ 07410-1583
(914) 376-6100
(914) 470-5056
Mailing address
23-08 MAPLE AVE, FAIR LAWN, NJ 07410-1583
(914) 376-6100
(914) 470-5056
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
10/10/2014
Last updated
10/10/2014
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