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. Allopathic & Osteopathic Physicians / Oral & 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:
Health care specialties
| Specialty | Code | License # | 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 | Apr 21st, 2025 - about last year |
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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