Individual
MS. ASMA MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-7401
Mailing address
8505 BRITTON AVE, ELMHURST, NY 11373-1420
(718) 426-9585
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
010432-1
NY
Other
Enumeration date
03/11/2007
Last updated
07/08/2007
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