Individual
MISS ANNISHA NIKEISHA CREARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
451 CLARKSON AVE, BROOKLYN, NY 11203-2057
(718) 245-4687
Mailing address
2425 NOSTRAND AVE APT 526, BROOKLYN, NY 11210-4012
(347) 782-4171
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0115391-1
NY
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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