Charles W Mistretta in Jamestown - Foot Surgery
Charles W Mistretta - NPI 1083624209
Charles W Mistretta is a Foot Surgery in Jamestown, New York. Charles W Mistretta practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for Charles W Mistretta is 1083624209. The last update date is 2011-09-12.
Charles W Mistretta's current location address is 23 Ivy St, Jamestown, New York. You can contact this provider via phone number 7166649698 and fax number 7166613851. The mailing address for Charles W Mistretta is 23 Ivy St, Jamestown, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles W Mistretta |
|---|---|
| Address | 23 Ivy St, Jamestown, New York |
| Phone Number | 7166649698 |
| Fax Number | 7166613851 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1083624209 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2011-09-12 |
Provider Mailing Address Detail
| Address | 23 Ivy St |
|---|---|
| City | Jamestown |
| State | New York (NY) |
| Post Code | 147018212 |
| Phone Number | 7166649698 |
| Fax Number | 7166613851 |
Provider's Primary Taxonomy Detail
| Speciality | Foot Surgery |
|---|---|
| Taxonomy | 213Es0131X |
| Licence No | N4011 |
|
Definition: A doctor of podiatric medicine who specializes in performing foot and ankle surgeries. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 957731 | NY | -- | |
| AA1409 | NY | MEDICARE-PTAN |
Post Comment/ Review Below
What is the Charles W Mistretta's 1083624209?
The Charles W Mistretta's NPI (National Provider Identifier) Number is 1083624209. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Charles W Mistretta is located?
The Charles W Mistretta is situated at the following address: 23 Ivy St, Jamestown, NY, 147018212.
What is Charles W Mistretta's specialized field of practice, and what is the corresponding taxonomy classification code?
The Charles W Mistretta's area of specialization is Foot Surgery, and the corresponding taxonomy code that categorizes this field of practice is 213Es0131X.
When did the Charles W Mistretta receive its 1083624209?
The Charles W Mistretta was issued its 1083624209 on 2006-08-09, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Charles W Mistretta, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Charles W Mistretta, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-09-12.
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