Individual
ABDUL-SAMAD MIRZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
107 MITCHEL FIELD WAY, GARDEN CITY, NY 11530-5034
(631) 813-6869
Mailing address
107 MITCHEL FIELD WAY, GARDEN CITY, NY 11530-5034
(631) 813-6869
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
323388
NY
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
OS18253
FL
Other
Enumeration date
04/07/2019
Last updated
04/17/2025
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