Individual
DR. MOHAMMED ATHER MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
290 E MAIN ST STE 200, SMITHTOWN, NY 11787-2916
(631) 361-5302
(631) 361-8607
Mailing address
290 E MAIN ST STE 200, SMITHTOWN, NY 11787-2916
(631) 361-5302
(631) 361-8607
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
117684
NY
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
117684
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DR7510
OXFORD
NY
Enumeration date
06/27/2006
Last updated
12/31/2019
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