Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel Creedon, PA-C, ATC

Individual provider Athletic Trainer · NPI 1811311822

Daniel Creedon, PA-C, ATC is a Physician Assistant in New York, New York. Qualified in 2020, 6 years ago. Practices with New York Society for the Relief of Ruptured and Crippled Maintaining, a 115-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

210 E 64th St Fl 4
New York, NY 10065-7471
Phone: (212) 434-4324
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 025180 (NY)
Athletic Trainer Taxonomy 2255A2300X · Licence 002539 (NY)

Record details

NPI number1811311822
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , ATC
Sole proprietorNo
NPI enumeratedFebruary 11, 2014
Last updated in NPPESSeptember 21, 2021
Certification dateSeptember 21, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice New York Society For The Relief Of Ruptured And Crippled Maintaining — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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