Individual
DANIEL CREEDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, ATC
Contact information
Practice address
210 E 64TH ST FL 4, NEW YORK, NY 10065-7471
(212) 434-4324
Mailing address
535 E 70TH ST, NEW YORK, NY 10021-4823
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
002539
NY
363A00000X
Physician Assistant
Primary
025180
NY
Other
Enumeration date
02/11/2014
Last updated
09/21/2021
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