Individual
HABIB NASRULLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
121 DEKALB AVE, BROOKLYN, NY 11201-5425
(718) 250-8000
Mailing address
11781 LEE JACKSON MEMORIAL HWY, STE 550, FAIRFAX, VA 22033-3309
(571) 777-5164
(703) 890-2650
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
268573
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02395802
—
NY
Enumeration date
06/02/2006
Last updated
12/04/2015
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