Individual
DR. HANNA J. HABASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
123 CONHOCTON ST, CORNING, NY 14830-2959
(607) 973-8600
(607) 973-5102
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
(570) 882-3007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
198707-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015244700001
—
PA
05
—
01559186
—
NY
01
—
080089366
RR MEDICARE PIN
NY
01
—
CC8362
RR MEDICARE GROUP
NY
Enumeration date
03/01/2006
Last updated
12/01/2021
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