Dr Mustafa Kaakour, MD | |
1656 Champlin Ave, Department Of Pathology, Utica, NY 13502-4830 | |
(315) 797-0790 | |
(315) 624-8204 |
Full Name | Dr Mustafa Kaakour |
---|---|
Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 1656 Champlin Ave, Utica, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245393040 | NPI | - | NPPES |
81472 | Other | NY | EMPIRE BC BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZC0500X | Pathology - Cytopathology | 1894621 (New York) | Primary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 1894621 (New York) | Primary |
Entity Name | Westchester Medical Center Advanced Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912131392 PECOS PAC ID: 3173660776 Enrollment ID: O20091031000042 |
Mailing Address | Practice Location Address |
---|---|
Dr Mustafa Kaakour, MD 117 Sylvan Way, New Hartford, NY 13413-3436 Ph: (315) 724-4429 | Dr Mustafa Kaakour, MD 1656 Champlin Ave, Department Of Pathology, Utica, NY 13502-4830 Ph: (315) 797-0790 |
Dr. Shridevi Karikehalli, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1656 Champlin Avenue, Pathology Department. St. Lukes Hospital Campus, Utica, NY 13502 Phone: 315-624-8244 | |
Syed Saeed Zaman, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2209 Genesee St, Utica, NY 13501 Phone: 315-798-8294 Fax: 315-734-3070 | |
Dr. Charles Brett Hon, D.O. Pathology Medicare: Not Enrolled in Medicare Practice Location: Centrrex Clinical Labs, 1656 Champlin Ave, Utica, NY 13502 Phone: 315-624-6144 Fax: 315-624-4919 | |
Lester D Manzano, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1656 Champlin Ave, Department Of Pathology, Utica, NY 13502 Phone: 315-624-8270 | |
Muzaffar N Khan, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2209 Genesee St, Utica, NY 13501 Phone: 315-798-8294 Fax: 315-734-3070 |