Individual
CRESTON M TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2149 S QUEEN ST, YORK, PA 17403-4845
(717) 356-4460
(717) 260-3326
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
009556L
PA
207Q00000X
Family Medicine Physician
Primary
OS009556L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016452150004
—
PA
05
—
0016452150010
—
PA
Enumeration date
01/25/2006
Last updated
05/11/2026
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