National Provider Identifier

Joseph M Misiti, M.D.

Joseph M Misiti, M.D. is listed in the NPPES registry with a primary specialty of Surgery Physician in Medina, NY and a listed phone number of (585) 798-2550.

NPI 1407837198Medina, NYSurgery Physician

Profile Overview

NPI
1407837198
Provider Type
Individual
Primary Specialty
Surgery Physician
Enumeration Date
November 09, 2005
Last Updated
July 08, 2007

Practice Location

  • 11075 W Center Street Ext
  • Medina, NY 14103-9557

Phone: (585) 798-2550

Mailing Address

  • 11075 W Center Street Ext
  • PO Box 440
  • Medina, NY 14103-9557

Specialties

  • Surgery Physician (208600000X)
Full Record
NPI
1407837198
Entity Type
Individual
Last Name
Misiti
First Name
Joseph
Middle Name
M
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
11075 W Center Street Ext
Mailing Address Line 2
PO Box 440
Mailing City
Medina
Mailing State
NY
Mailing ZIP Code
14103-9557
Mailing Country
US
Mailing Phone
(585) 798-2550
Mailing Fax
(585) 798-3660
Practice Street Address
11075 W Center Street Ext
Practice City
Medina
Practice State
NY
Practice ZIP Code
14103-9557
Practice Country
US
Practice Phone
(585) 798-2550
Practice Fax
(585) 798-3660
Enumeration Date
November 09, 2005
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Surgery Physician (208600000X)
Other Identifiers
00734538 (NY)