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Individual

MICKALAH CREARY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LDO

Contact information

Practice address
309 MAIN ST, NEW ROCHELLE, NY 10801-5714
(914) 654-8603
Mailing address
60 W 1ST ST APT 507G, MOUNT VERNON, NY 10550-3070

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Enumeration date
01/18/2018
Last updated
01/18/2018
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