Individual
AMR A HABIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
4 EXECUTIVE DRIVE, SECOND FLOOR, ALBANY, NY 12204-3717
(518) 459-3485
(518) 459-3487
Mailing address
42 SWEETIE LN, ALTAMONT, NY 12009-2829
(585) 201-0170
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
060273
NY
390200000X
Student in an Organized Health Care Education/Training Program
30345
IA
Other
Enumeration date
09/11/2009
Last updated
10/20/2020
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