# CREEDMOOR PSYCHIATRIC CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205113925
- **Authorized official:** DR. SWAPNA DONEPUDI M.D. (PGY-1)
- **Authorized official phone:** (985) 713-6141

## Contact information

- **Practice address:** 7925 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427-2128
- **Practice address phone:** (718) 624-4000
- **Mailing address:** 3110 23RD ST, APT 5E, ASTORIA, NY 11106-4585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282E00000X | Long Term Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 11/09/2011
- **Last updated:** 11/09/2011