Individual
DR. MASOOD ALI MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 POLY PL, BROOKLYN, NY 11209-7104
(718) 836-6600
Mailing address
1 KNOLLS DR, MANHASSET HILLS, NY 11040-1110
(516) 627-2830
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
133578
NY
Other
Enumeration date
08/21/2006
Last updated
07/21/2022
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