Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mirza Tanovic, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1952241143

Dr. Mirza Tanovic, MD is a Student in an Organized Health Care Education/Training Program in Glen Cove, New York. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

101 Saint Andrews Ln
Glen Cove, NY 11542-2263
Phone: (516) 674-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1952241143
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2026
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026
Mailing address6954 Ingram St, Forest Hills, NY 11375-5834

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