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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