National Provider Identifier
Courtney Creasey
Courtney Creasey is listed in the NPPES registry with a primary specialty of Physician Assistant in Lockport, NY and a listed phone number of (716) 438-3393.
Profile Overview
- NPI
- 1558198366
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- September 16, 2024
- Last Updated
- September 16, 2024
Practice Location
- 5526 Niagara Street Ext
- Lockport, NY 14094-1804
Phone: (716) 438-3393
Mailing Address
- 424 Somerville Ave
- Tonawanda, NY 14150-8112
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1558198366
- Entity Type
- Individual
- Last Name
- Creasey
- First Name
- Courtney
- Mailing Street Address
- 424 Somerville Ave
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14150-8112
- Mailing Country
- US
- Mailing Phone
- (716) 480-6647
- Practice Street Address
- 5526 Niagara Street Ext
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-1804
- Practice Country
- US
- Practice Phone
- (716) 438-3393
- Enumeration Date
- September 16, 2024
- Last Updated
- September 16, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 16, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)