Wisam Al-Mutawalli, MD
Wisam Al-Mutawalli, MD is a Family Practice in Camillus, New York. Qualified in 2005, 21 years ago. Practices with Select PT, OT and SLP Rehabilitation Ny, PLLC, a 272-clinician group and offers telehealth. Licensed in New York.
- Years since qualifying
- 21
- Licensed in
- NY
- In the registry since
- 2021
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
208 Township Blvd Ste 100Camillus, NY 13031
Phone: (315) 551-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 332191 (NY) |
|---|
Record details
| NPI number | 1164005526 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 4, 2021 |
| Last updated in NPPES | October 23, 2024 |
| Certification date | May 4, 2021 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2005 (21 years in practice) |
| Group practice | Select Pt, Ot And Slp Rehabilitation Ny, Pllc — 272 clinicians |
| Accepts Medicare assignment | Not indicated |
| Telehealth | Offers telehealth services |
| Practice locations | 4 on file with Medicare |
Other providers in Camillus
-
Jorge David Alvarenga Montoya, MD
436 Hinsdale Rd, Camillus, NY 13031-1648 · (315) 488-0996
-
Steven M Connolly, MD
436 Hinsdale Rd, Camillus, NY 13031-1648 · (315) 488-0996
-
Dennis David Daly, MD
5700 W Genesee St, Camillus, NY 13031-3200 · (315) 487-1573
-
Dr. Ian Trevor Daly, MD
5700 W Genesee St Family Care Medical Group Ste 109N, Camillus, NY 13031-3200 · (315) 487-1573