Organization
CREEDMOOR PSYCHIATRIC CENTER
Active
Parent organization
NYS OFFICE OF MENTAL HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
NYS OFFICE OF MENTAL HEALTH
Authorized official
BETH GAIL GIARRUSSO (FINANCE DIRECTOR)
(518) 473-3598
Entity
Organization
Contact information
Practice address
8045 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427-2193
(718) 464-7500
Mailing address
44 HOLLAND AVE, ATTN: SOFG/MEDICARE D, ALBANY, NY 12229-0000
(518) 486-4303
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
—
NY
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
12/22/2006
Last updated
06/27/2019
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