Charles W Mistretta, Dpm, Pc
LBN: Charles W Mistretta, Dpm, Pc
Charles W Mistretta, Dpm, Pc is an health care organization with primary practice located at 23 Ivy St , Jamestown NY 14701-8212. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as the primary health care specialty.
Charles W Mistretta, Dpm, Pc can be contacted via phone (716) 664-9698, or through Mistretta, Charles W via phone (716) 664-9698.
Contact Information
Primary practice address
23 Ivy St
Jamestown NY 14701-8212
Phone: (716) 664-9698
Fax: (716) 661-3851
Website:
Authorized official contact:
Name: Mistretta, Charles W Doctor of Podiatric Medicine (DPM)
Phone: (716) 664-9698
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | N004011-1 | New York |
Profile Details
| NPI number | 1811020571 |
|---|---|
| LBN Legal business name | Charles W Mistretta, Dpm, Pc |
| DBA Doing business as | |
| Authorized official | Mistretta, Charles W Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811020571 | NPPES |
| New York | MEDICAID | 02433021 | |
| New York | Other | 000500968001 | |
| New York | MEDICAID | 00957731 | |
| New York | Other | 00010256401 | |
| New York | Other | 8905546 |
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