Mccreesh, Lisa Jean

Mccreesh, Lisa Jean is an individual health care provider with primary practice located at 975 Stewart Ave , Garden City NY 11530-4816. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mccreesh, Lisa Jean can be contacted via phone (516) 222-8600.

Contact Information

Primary practice address
975 Stewart Ave Garden City NY 11530-4816
Phone: (516) 222-8600
Fax: (516) 222-8690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 007638 New York

Profile Details

NPI number 1831408806
LBN Legal business name Mccreesh, Lisa Jean
Credentials RPA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2010
Last updated Feb 24th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831408806 NPPES
New York Other 007638 LICENSE

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