Individual
AZERINA HABIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5218 PATRICK RD, VERONA, NY 13478-3012
(315) 771-7711
Mailing address
5407 QUAMBY RD, CLAY, NY 13041-6925
(315) 269-0058
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F356509-01
NY
Other
Enumeration date
04/21/2025
Last updated
04/29/2025
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