Charles W Mistretta
Foot Surgery
23 Ivy St
Jamestown
, New York 14701-8212
Charles W Mistretta
Foot Surgery
23 Ivy St
Jamestown
, New York 14701-8212
(716) 661-3851
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Charles W Mistretta
- 23 Ivy St
- Jamestown, NY
- Zip : 14701-8212
- Fax : (716) 661-3851
- Phone : (716) 664-9698
Second Address
- Charles W Mistretta
- 23 Ivy St
- Jamestown, NY
- Zip : 14701-8212
- Phone : (716) 664-9698
Reviews
FAQs
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Is Charles W Mistretta accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | N4011 | NY |
National Provider Identifier
| NPI | 1083624209 |
|---|---|
| Provider Name | Charles W Mistretta |
| First Address | Jamestown, NY 14701-8212 |
| Second Address | Jamestown, NY 14701-8212 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/08/2006 |
| Last Update Date | 12/09/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00957731 | (05) | NY |
| AA1409 | MEDICARE-PTAN (01) | NY |
| T26688 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.