Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Mitchell Derrick Streety

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1194463034

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
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Practice location Address checks out

95 Fox Meadow Ln
Orchard Park, NY 14127-2885
Phone: (716) 544-2991
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (NY)

Record details

NPI number1194463034
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 20, 2022
Last updated in NPPESMay 20, 2022
Certification dateMay 20, 2022
Mailing address95 Fox Meadow Ln, Orchard Park, NY 14127-2885

Other providers in Orchard Park