National Provider Identifier

Mark Habib, M.D.

Mark Habib, M.D. is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 756-4800.

NPI 1639961394Rochester, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1639961394
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
May 20, 2025
Last Updated
September 09, 2025

Practice Location

  • 601 Elmwood Avenue
  • Rochester, NY 14642

Phone: (585) 756-4800

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1639961394
Entity Type
Individual
Last Name
Habib
First Name
Mark
Credential
M.D.
Mailing Street Address
601 Elmwood Avenue
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642
Mailing Country
US
Mailing Phone
(585) 756-4800
Practice Street Address
601 Elmwood Avenue
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642
Practice Country
US
Practice Phone
(585) 756-4800
Enumeration Date
May 20, 2025
Last Updated
September 09, 2025
Sex
Male
Sole Proprietor
Yes
Certification Date
September 09, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)