Provider Demographics
NPI:1649723248
Name:HABAYEB, SALWA NASSIB (AGNP)
Entity type:Individual
Prefix:MISS
First Name:SALWA
Middle Name:NASSIB
Last Name:HABAYEB
Suffix:
Gender:F
Credentials:AGNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 W FAYETTE ST STE 400
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13204-2866
Mailing Address - Country:US
Mailing Address - Phone:866-310-2409
Mailing Address - Fax:
Practice Address - Street 1:739 IRVING AVE STE 340
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-1605
Practice Address - Country:US
Practice Address - Phone:315-470-7747
Practice Address - Fax:315-470-7758
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-31
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC1036055363LG0600X, 363LA2200X
NY312281363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology