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General NPI Number Information
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NPI Number | 1174755169
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Entity Type | Organization
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Legal Business Name | HABEN PRACTICE FOR VOICE & LARYNGEAL LASER SURGERY PLLC
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Dates
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Enumeration Date | 08/10/2009
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 980 WESTFALL RD SUITE 1-127
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City | ROCHESTER
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State | NY
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Zip | 14618-2605
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Country | US
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Telephone | 585-727-5436
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Fax | 999-999-9999
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Provider Business Mailing Address
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Address Line | 980 WESTFALL RD SUITE 1-127
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City | ROCHESTER
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State | NY
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Zip | 14618-2605
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Country | US
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Telephone | 585-727-5436
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Fax | 999-999-9999
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL C HABEN
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Credential | MD, MSC
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Telephone | 585-727-5436
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 230501
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License Number State | NY
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