Organization
MIRZA MEDICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDUL-SAMAD MIRZA MD,DO (OWNER)
(516) 808-2535
Entity
Organization
Contact information
Practice address
25913 HILLSIDE AVE, FLORAL PARK, NY 11004-1622
(516) 321-0956
Mailing address
107 MITCHEL FIELD WAY, GARDEN CITY, NY 11530-5034
(516) 808-2535
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
—
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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