Individual
DR. DANIEL TIMOTHY CREIGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1884 VICTORY BLVD, STATEN ISLAND, NY 10314-3514
(718) 273-5000
Mailing address
40 BEMENT AVE, STATEN ISLAND, NY 10310-1501
(718) 448-8313
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T0046551
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01018780
—
NY
01
—
904916
BLOCK INSURANCE
NY
Enumeration date
07/31/2006
Last updated
07/08/2007
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