Individual
GASTONE CREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 WATERS PL, SUITE M115, BRONX, NY 10461-0370
(718) 794-9729
(718) 794-9730
Mailing address
PO BOX 416173, BOSTON, MA 02241-6173
(610) 644-8900
(484) 924-0053
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
202745-3
NY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
202745
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01752372
—
NY
Enumeration date
06/27/2005
Last updated
05/20/2020
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