Individual
DR. JOSEPH M MISITI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11075 W CENTER STREET EXT, MEDINA, NY 14103-9557
(585) 798-2550
(585) 798-3660
Mailing address
11075 W CENTER STREET EXT, PO BOX 440, MEDINA, NY 14103-9557
(585) 798-2550
(585) 798-3660
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
131777
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00734538
—
NY
Enumeration date
11/09/2005
Last updated
07/08/2007
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