Individual
ANDRE ANTOINE WAKIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-1800
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(316) 300-0054
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/29/2021
Last updated
04/05/2022
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