Individual
MRS. LISA JEAN MCCREESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
975 STEWART AVE, GARDEN CITY, NY 11530-4816
(516) 222-8600
(516) 222-8690
Mailing address
975 STEWART AVE, GARDEN CITY, NY 11530-4816
(516) 222-8600
(516) 222-8690
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
007638
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007638
LICENSE
NY
Enumeration date
09/24/2010
Last updated
02/24/2021
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