Individual
CREE HUETTL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5800
Mailing address
400 S 2ND ST APT 401, BROOKLYN, NY 11211-5813
(920) 636-0636
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
020991
NY
Other
Enumeration date
07/11/2017
Last updated
07/11/2017
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