Mr. Mitchell Derrick Streety
Mr. Mitchell Derrick Streety is a Student in an Organized Health Care Education/Training Program in Orchard Park, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2022
Practice location Address checks out
Orchard Park, NYNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (NY) |
|---|
Record details
| NPI number | 1194463034 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 20, 2022 |
| Last updated in NPPES | May 20, 2022 |
| Certification date | May 20, 2022 |
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