| NPI | 1811020571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES W MISTRETTA President 716-664-9698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NY N004011-1) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |