| Creedmoor Psychiatric Center | |
|
7925 Winchester Blvd Queens Village NY 11427-2128 | |
| (718) 464-7500 | |
| Not Available |
| Full Name | Creedmoor Psychiatric Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 7925 Winchester Blvd, Queens Village, New York |
| Authorized Official Name and Position | Beth Giarrusso (DIRECTOR, FINANCE) |
| Authorized Official Contact | 5184733598 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creedmoor Psychiatric Center 44 Holland Ave Albany NY 12229-0001 Ph: (518) 473-3598 | Creedmoor Psychiatric Center 7925 Winchester Blvd Queens Village NY 11427-2128 Ph: (718) 464-7500 |
| NPI Number | 1194889097 |
|---|---|
| Provider Enumeration Date | 12/22/2006 |
| Last Update Date | 04/12/2017 |
| Medicare PECOS PAC ID | 3072782432 |
|---|---|
| Medicare Enrollment ID | O20160108001621 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194889097 | NPI | - | NPPES |
| 02711475 | Medicaid | NY | |
| 00769411 | Medicaid | NY |
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