Mirza, Usman
Mirza, Usman is an sole proprietor health care provider with primary practice located at 815 Hallock Ave Ste A , Port Jefferson Station NY 11776-1244. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Mirza, Usman can be contacted via phone (631) 828-3036.Contact Information
Primary practice address
815 Hallock Ave Ste A
Port Jefferson Station NY 11776-1244
Phone: (631) 828-3036
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 306390 | New York |
Profile Details
| NPI number | 1912429895 |
|---|---|
| LBN Legal business name | Mirza, Usman |
| Credentials | MD, MBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2017 |
| Last updated | Apr 26th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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