Organization
CREEDMOOR PSYCHIATRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM FISHER (CLINICAL DIRECTOR)
(718) 264-3603
Entity
Organization
Contact information
Practice address
CREEDMOOR PSYCHIATRIC CENTER, 80-45 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427
(718) 264-3983
Mailing address
1806 OLD MILL RD, MERRICK, NY 11566-1508
(516) 867-7434
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
159042
NY
Other
Enumeration date
02/09/2007
Last updated
08/22/2020
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