Kaakour, Mustafa
Kaakour, Mustafa is an individual health care provider with primary practice located at 1656 Champlin Ave Department Of Pathology, Utica NY 13502-4830. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Cytopathology is his primary health care specialty. Kaakour, Mustafa can be contacted via phone (315) 797-0790.Contact Information
Primary practice address
1656 Champlin Ave Department Of Pathology
Utica NY 13502-4830
Phone: (315) 797-0790
Fax: (315) 624-8204
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | 1894621 | New York |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 1894621 | New York |
Profile Details
NPI number | 1245393040 |
---|---|
LBN Legal business name | Kaakour, Mustafa |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 19th, 2006 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245393040 | NPPES |
New York | Other | 81472 | EMPIRE BC BS |
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