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1356648570
JUSTIN BRUNO MIRZA
FAR ROCKAWAY, NY
NPI
1356648570
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: NY 258198)
Enumeration Date
2011-02-24
Last Update Date
2011-02-24
Business Address
-- JUSTIN BRUNO MIRZA DO
51-15 BEACH CHANNEL DRIVE PENINSULA HOSPITAL CENTER
FAR ROCKAWAY, NY 11691
Phone number: 718-734-3020
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Mailing Address
-- JUSTIN BRUNO MIRZA DO
51-15 BEACH CHANNEL DRIVE PEINISULA HOSPITAL CENTER
FAR ROCKAWAY, NY 11691
Phone number:
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