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DR. JOHN MARK MISTRETTA DC NPI 1346335668


NPI Information

NPI: 1346335668
Provider Name: DR. JOHN MARK MISTRETTA, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
6 MCMASTER ST STE 1
OWEGO, NY
ZIP 13827
Phone: (607) 687-2242
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DR. John Mark Mistretta, DC is a chiropractor in Owego, NY. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. John Mark Mistretta, DC NPI is 1346335668. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6 MCMASTER ST STE 1
OWEGO, NY
ZIP 13827-029
Phone: (607) 687-2242
Fax: (607) 687-9128

The enumeration date for this NPI number is 10/3/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorX005973-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000129776OTHERNEW YORKEXCELLUS BC/BS
2U02507MEDICARE UPINNEW YORK
351907CMEDICARE ID-TYPE UNSPECIFIEDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.