Individual
COURTNEY CREASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5526 NIAGARA STREET EXT, LOCKPORT, NY 14094-1804
(716) 438-3393
Mailing address
424 SOMERVILLE AVE, TONAWANDA, NY 14150-8112
(716) 480-6647
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
032582
NY
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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