IndividualActive
Charles Mistretta, DPM
NPI 1083624209 · Foot Surgery Podiatrist · Jamestown, NY
Provider details
- NPI number
- 1083624209
- Entity type
- Individual
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- License
- N4011 (NY)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
23 Ivy St
Jamestown, NY 14701-8212
Phone: (716) 664-9698
Approximate (ZIP-level) locationGet directions
Mailing address
23 Ivy St
Jamestown, NY 14701-8212
Registry dates
- Enumerated
- 2006-08-09
- Last updated
- 2011-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.