Individual
MRS. MARY JEANNE CREAMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
112 9TH AVE, HOLTSVILLE, NY 11742-2335
(631) 207-0070
Mailing address
112 9TH AVE, HOLTSVILLE, NY 11742-2335
(631) 207-0070
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305999-1
NY
Other
Enumeration date
06/01/2013
Last updated
06/01/2013
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