Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN BRUNO MIRZA, DO
Active Sole ProprietorJUSTIN BRUNO MIRZA, DO is a Orthopaedic Surgery healthcare provider located in FAR ROCKAWAY, New York. NPI 1356648570 is currently active in the NPPES registry. Verify at CMS.
Orthopaedic Surgery · FAR ROCKAWAY, NY
Registration Details
- NPI Number
- 1356648570
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 24, 2011 (15.488068528543 yrs)
- Last Updated
- Feb 24, 2011
- License
-
258198 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
51-15 BEACH CHANNEL DRIVEPENINSULA HOSPITAL CENTERFAR ROCKAWAY, NY, 11691Browse NY providers · Browse ZIP 11691
- Phone
- 7187343020
- Primary Specialty
-
Orthopaedic Surgery
207X00000X
Other Orthopaedic Surgery Providers in FAR ROCKAWAY, NY
| Name | Credential | NPI |
|---|---|---|
| CHRISTOPHER MICHAEL BETZ | D.O | 1164719159 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.