| Muftah A. Kadura, Md | |
|
235 Genesee St Wampsville NY 13163 | |
| (315) 363-1363 | |
| (315) 363-6889 |
| Full Name | Muftah A. Kadura, Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 235 Genesee St, Wampsville, New York |
| Authorized Official Name and Position | Muftah A. Kadura (OWNER/ PRESIDENT) |
| Authorized Official Contact | 3152450505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Muftah A. Kadura, Md 235 Genesee St Wampsville NY 13163 Ph: (315) 363-1363 | Muftah A. Kadura, Md 235 Genesee St Wampsville NY 13163 Ph: (315) 363-1363 |
| NPI Number | 1477752376 |
|---|---|
| Provider Enumeration Date | 07/12/2007 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477752376 | NPI | - | NPPES |
| 01747364 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 204779 (New York) | Primary |
Coppernoll Medical Practice Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Madison Ave, Wampsville, NY 13163 Phone: 315-761-6770 |