Individual
DR. MITCHELL PETERSON CREED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
712 MAIN ST, ISLIP, NY 11751-3620
(631) 666-3939
Mailing address
605 SYLVAN AVE, BAYPORT, NY 11705-1540
(913) 544-6647
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
331351
NY
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
331351
NY
Other
Enumeration date
03/21/2019
Last updated
06/30/2025
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