| Charles W Mistretta, Dpm, Pc | |
|
23 Ivy St, Jamestown, NY 14701-8212 | |
| (716) 664-9698 | |
| (716) 661-3851 |
| Full Name | Charles W Mistretta, Dpm, Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot Surgery |
| Location | 23 Ivy St, Jamestown, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811020571 | NPI | - | NPPES |
| 02433021 | Medicaid | NY | |
| 000500968001 | Other | NY | BLUE CROSS OF WNY |
| 00957731 | Medicaid | NY | |
| 00010256401 | Other | NY | UNIVERA HEALTH CARE |
| 8905546 | Other | NY | INDEPENDENT HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0131X | Podiatrist - Foot Surgery | N004011-1 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles W Mistretta, Dpm, Pc 23 Ivy St, Jamestown, NY 14701-8212 Ph: (716) 664-9698 | Charles W Mistretta, Dpm, Pc 23 Ivy St, Jamestown, NY 14701-8212 Ph: (716) 664-9698 |
Charles W Mistretta, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 23 Ivy St, Jamestown, NY 14701 Phone: 716-664-9698 | |
Podiatry Associates Of Jamestown Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 844 Fairmount Ave, Jamestown, NY 14701 Phone: 716-483-2200 Fax: 716-487-2885 | |
Rajan Patel, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 207 Foote Ave, Jamestown, NY 14701 Phone: 716-483-2200 Fax: 716-485-7804 | |
Mark Tuccio, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 844 Fairmount Ave, Jamestown, NY 14701 Phone: 716-483-2200 | |
Anthony Tuccio, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 844 Fairmount Ave, Jamestown, NY 14701 Phone: 716-483-2200 |