MR. MITCHELL DERRICK STREETY
NPI 1194463034
Student in an Organized Health Care Education/Training Program in Orchard Park, NY

Active since May 20, 2022
95 FOX MEADOW LN, ORCHARD PARK, NY 14127(716) 544-2991 Get Directions Write a Review

NPPES record last updated: May 20, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Mitchell Derrick Streety NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MITCHELL DERRICK STREETY (NPI 1194463034) is an individual student in an organized health care education/training program in Orchard Park, New York and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1194463034
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. MITCHELL DERRICK STREETY
Location Address95 FOX MEADOW LNOrchard Park, NY 14127-2885
Mailing Address95 Fox Meadow LnOrchard Park, NY 14127-2885 · (716) 544-2991
Sole ProprietorYes
Enumeration DateMay 20, 2022
NPPES CertifiedMay 20, 2022
NPI 1194463034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
95 FOX MEADOW LN, Orchard Park, NY 14127

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mitchell Streety's NPI number?

The NPI number for Mitchell Streety is 1194463034. It was assigned to this individual provider in the NPPES registry on May 20, 2022.

Where is Mitchell Streety located?

Mitchell Streety practices at 95 Fox Meadow Ln, Orchard Park, NY 14127. The listed phone number is (716) 544-2991.

What is Mitchell Streety's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mitchell Streety was last updated on May 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.