Individual provider · Type 1 NPI
Charles W. Mistretta, DPM
Foot Surgery Podiatrist · Jamestown, NY
NPI number
1083624209
Active
Practice location
23 Ivy St
Jamestown, NY 14701-8212
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | N4011 (NY) |
Foot Surgery Podiatrist: Definition to come...
2 other providers at this address
About NPI 1083624209
Charles W. Mistretta, DPM's National Provider Identifier is 1083624209, issued on Aug 9, 2006. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Jamestown, NY. The record was last updated on Sep 12, 2011.