Individual
PROF. STACEY CREIGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13295 BROADWAY ST, ALDEN, NY 14004-1324
(716) 902-5025
(716) 937-4136
Mailing address
13295 BROADWAY ST, ALDEN, NY 14004-1324
(716) 902-5025
(716) 937-4136
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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