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Organization
CREEDMOOR PSYCHIATRIC CENTER
Active
Organization
CREEDMOOR PSYCHIATRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PUCCIO (DIRECTOR, FINANCE)
(518) 473-0795
Entity
Organization
Contact information
Practice address
8045 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427-2193
(718) 464-7500
Mailing address
44 HOLLAND AVE, ALBANY, NY 12229-0001
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
NY
Other
Enumeration date
12/22/2006
Last updated
08/01/2008
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