Organization
CREEDMOOR PSYCHIATRIC CENTER
Active
Parent organization
STATE OF NEW YORK
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF NEW YORK
Authorized official
KATHLEEN IVERSON (EXAC DIRECTOR)
(718) 264-4000
Entity
Organization
Contact information
Practice address
7925 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427
(718) 264-5024
Mailing address
7925 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
390200000X
NY
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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