Organization
CREEDMOOR PSYCHIATRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN DINER M.D. (MEDICAL DIRECTOR)
(718) 264-4046
Entity
Organization
Contact information
Practice address
31 ROSLYN WEST SHORE RD,, PORT WASHINGTON, NY 11050
(516) 883-4757
Mailing address
8045 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427-2193
(718) 464-7500
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
126421
NY
Other
Enumeration date
02/13/2007
Last updated
08/22/2020
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