MEDICARE: FARZANA HABIB MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	239667	NY

General Provider Information

NPI Number	:	1821008293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FARZANA HABIB MD

Provider Business Mailing Address
First Line	:	646 N FRENCH RD STE 1
Second Line	:
City	:	AMHERST
State	:	NY
Zip	:	14228-2100
Country	:	US
Telephone Number	:	716-568-2155
Fax Number	:	716-434-4267

Provider Business Practice Location Address
First Line	:	646 N FRENCH RD STE 1
Second Line	:
City	:	AMHERST
State	:	NY
Zip	:	14228-2100
Country	:	US
Telephone Number	:	716-568-2155
Fax Number	:	716-434-4267

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	03/06/2014

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