| Creative Resources Consultation Center, Inc. | |
|
174 Jericho Tpke Floral Park NY 11001-2024 | |
| (516) 993-0200 | |
| (516) 783-7957 |
| Full Name | Creative Resources Consultation Center, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 174 Jericho Tpke, Floral Park, New York |
| Authorized Official Name and Position | James J. Nuss (PRESIDENT AND C.E.O.) |
| Authorized Official Contact | 5169930200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Resources Consultation Center, Inc. 174 Jericho Tpke Floral Park NY 11001-2024 Ph: (516) 993-0200 | Creative Resources Consultation Center, Inc. 174 Jericho Tpke Floral Park NY 11001-2024 Ph: (516) 993-0200 |
| NPI Number | 1316626260 |
|---|---|
| Provider Enumeration Date | 07/17/2023 |
| Last Update Date | 07/17/2023 |
| Certification Date | 07/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316626260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
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