Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | N004234 | NY |
Y | 222Z00000X | Podiatrist | N004234 | NY |
N | 2081S0010X | Sports Medicine | N004234 | NY |
N | 213ES0000X | Sports Medicine | N004234 | NY |
N | 213ES0103X | Foot & Ankle Surgery | N004234 | NY |
NPI | 1437104635 |
---|---|
Provider Name | Henry Habib |
First Address | New York, NY 10041-0004 |
Second Address | Staten Island, NY 10301-3627 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 12/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T81547 | (02) |