Organization
CREEDMOOR PSYCHIATRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SWAPNA DONEPUDI M.D. (PGY-1)
(985) 713-6141
Entity
Organization
Contact information
Practice address
7925 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427-2128
(718) 624-4000
Mailing address
3110 23RD ST, APT 5E, ASTORIA, NY 11106-4585
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
—
—
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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