institution
Charles W Mistretta, Dpm, Pc
Foot Surgery Podiatrist in Jamestown, New York
NPI 1811020571

Charles W Mistretta, Dpm, Pc is a Foot Surgery Podiatrist based in Jamestown, NY and is specialized in Foot Surgery. Charles W Mistretta, Dpm, Pc practices in Jamestown, NY. The NPI Number for Charles W Mistretta, Dpm, Pc is 1811020571 and holds a License No. N004011-1 (New York).

The current practice location address for Charles W Mistretta, Dpm, Pc is 23 Ivy St, Jamestown, NY and can be reached out via phone at 716-664-9698 and via fax at 716-661-3851.

Location: 23 Ivy St, Jamestown, NY, 14701-8212
institution
Provider Profile Details
NPI Number
1811020571
Provider Name
Charles W Mistretta, Dpm, Pc
Credential
Provider Entity Type
Organization
Address
23 Ivy St, Jamestown, NY, 14701-8212
Phone Number
716-664-9698
Fax Number
716-661-3851
Provider Enumeration Date
03/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02433021 05 NY
000500968001 01 NY BLUE CROSS OF WNY
00957731 05 NY
00010256401 01 NY UNIVERA HEALTH CARE
8905546 01 NY INDEPENDENT HEALTH
institution
Provider Business Practice Location Address Details
Address
23 Ivy St
City
State
Zip
14701-8212
Phone Number
716-664-9698
Fax Number
716-661-3851
person
Provider Business Mailing Address Details
Address
23 Ivy St
City
State
Zip
14701-8212
Phone Number
716-664-9698
Fax Number
716-661-3851
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
N004011-1 (New York)
Definition
Definition to come...
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