Individual
WAEL F MUAKKASSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
357 GENESEE ST, STE 1, ONEIDA, NY 13421-2658
(315) 363-8862
(315) 363-3326
Mailing address
1226 E WATER ST, SYRACUSE, NY 13210-1155
(315) 478-4185
(315) 478-0840
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
1984112
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01539495
—
NY
Enumeration date
08/17/2006
Last updated
06/20/2012
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