Individual
DR. AYAZ AHMED HABIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6565 4TH SECTION RD, SUITE 700, BROCKPORT, NY 14420-2414
(585) 473-5051
Mailing address
2225 CLINTON AVE S, ROCHESTER, NY 14618-2664
(585) 473-5051
(585) 473-3033
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N006595-1
NY
213ES0131X
Foot Surgery Podiatrist
6595
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/13/2011
Last updated
06/29/2023
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