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MISS ANNISHA NIKEISHA CREARY PHYSICIAN ASSISTANT NPI 1821168956


NPI Information

NPI: 1821168956
Provider Name: MISS ANNISHA NIKEISHA CREARY, PHYSICIAN ASSISTANT
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
451 CLARKSON AVE
BROOKLYN, NY
ZIP 11203
Phone: (718) 245-4687
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MISS Annisha Nikeisha Creary, PHYSICIAN ASSISTANT is a surgical physician assistant in Brooklyn, NY with 19 years of experience. MISS Annisha Nikeisha Creary, PHYSICIAN ASSISTANT NPI is 1821168956. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

451 CLARKSON AVE
BROOKLYN, NY
ZIP 11203-057
Phone: (718) 245-4687

The NPI 1821168956 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AS0400XPhysician AssistantSurgical0115391-1NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.