Organization
CREEDMOOR PSYCHIATRIC CENTER
Active
Organization
CREEDMOOR PSYCHIATRIC CENTER
Active
Other names
NYS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE GERMAINE LAROQUE REGISTERED NURSE (REGISTERED NURSE)
(516) 305-5787
Entity
Organization
Contact information
Practice address
137 HEATHCOTE RD, ELMONT, NY 11003-2005
(516) 305-5787
Mailing address
137 HEATHCOTE RD, ELMONT, NY 11003-2005
(516) 305-5787
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
22-567790
NY
251B00000X
Case Management Agency
567790
NY
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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