Individual
GASTON HABIB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-5240
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01092575A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01092575A
IN
207RP1001X
Pulmonary Disease Physician
01092575A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2018
Last updated
06/03/2024
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