Individual
DR. MARLENA VANESSA HABAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
530 1ST AVE # 9N, NEW YORK, NY 10016-6402
(646) 501-0119
(646) 501-0145
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
(212) 305-4600
(212) 305-1769
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
284801
NY
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
284801
NY
207RC0000X
Cardiovascular Disease Physician
Primary
284801
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
93778
CPSO
—
Enumeration date
06/13/2016
Last updated
05/04/2023
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