IndividualActive
Abdul-Samad Mirza
NPI 1619430782 · Neuromusculoskeletal Medicine & OMM Physician · Garden City, NY
Provider details
- NPI number
- 1619430782
- Entity type
- Individual
- Primary specialty
- Neuromusculoskeletal Medicine & OMM PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- OS18253 (FL)
Practice location
107 Mitchel Field Way
Garden City, NY 11530-5034
Phone: (631) 813-6869
Mailing address
107 Mitchel Field Way
Garden City, NY 11530-5034
Registry dates
- Enumerated
- 2019-04-07
- Last updated
- 2025-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.