Individual
CHARLES MITSCHOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 PINEWILD DR STE 2A, ROCHESTER, NY 14606-4200
(585) 368-6700
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101265597
VA
2084P0800X
Psychiatry Physician
Primary
331205
NY
Other
Enumeration date
03/20/2017
Last updated
06/23/2025
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