Mistretta, Michael Charles

Mistretta, Michael Charles is an individual health care provider with primary practice located at 200 Central Park S Suite 105, New York NY 10019-1436. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Mistretta, Michael Charles can be contacted via phone (212) 245-3292.

Contact Information

Primary practice address
200 Central Park S Suite 105 New York NY 10019-1436
Phone: (212) 245-3292
Fax: (212) 245-8758
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 049087-1 New York
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 240428-1 New York

Profile Details

NPI number 1780602920
LBN Legal business name Mistretta, Michael Charles
Credentials D.D.S., M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jul 20th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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