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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 8 months 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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