Individual
PETER HABIB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2508
(718) 630-7000
Mailing address
150 55TH ST, BROOKLYN, NY 11220-2508
(718) 630-7000
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
635955
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F404405
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2997157
—
NY
Enumeration date
01/02/2018
Last updated
08/31/2022
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