Individual provider · Type 1 NPI

Mitchell Derrick Streety

Student in an Organized Health Care Education/Training Program · Orchard Park, NY

NPI number 1194463034 Active

Practice location

95 Fox Meadow Ln
Orchard Park, NY 14127-2885

Call (716) 544-2991 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194463034

Mitchell Derrick Streety's National Provider Identifier is 1194463034, issued on May 20, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Orchard Park, NY. The record was last updated on May 20, 2022.