Organization
CREEDMOOR PSYCHIATRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN WANGECHI MUGO M.D. (RESIDENT PHYSICIAN)
(516) 263-0078
Entity
Organization
Contact information
Practice address
7925 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427-2128
(718) 264-5030
Mailing address
7925 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427-2128
(718) 264-5030
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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