Individual
CAROL HABIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
646 PARK AVE, NEW YORK, NY 10065-6105
(516) 616-5500
Mailing address
646 PARK AVE, NEW YORK, NY 10065-6105
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NY
Other
Enumeration date
10/17/2023
Last updated
05/20/2024
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