Search › New York › 204D00000X
Abdul-Samad Mirza
NPI 1619430782 · on the registry since 2019 · sole proprietor
Practice
- Address
- 107 Mitchel Field Way
Garden City, NY 11530 - Phone
- (631) 813-6869
Registry record
- Primary taxonomy
- 204D00000X
204D00000X
- Also registered as
- 204D00000X
- Licence states on file
- FL, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-04-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York