Individual
JOHN M CREAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1279 E MAIN ST, RIVERHEAD, NY 11901-2583
(631) 727-2100
(631) 727-2646
Mailing address
1279 E MAIN ST, RIVERHEAD, NY 11901-2583
(631) 727-2100
(631) 727-2646
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
174900
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01521264
—
NY
Enumeration date
05/31/2005
Last updated
03/17/2021
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