| Creedmor Psychiatric Center | |
|
7925 Winchester Boulevard Creedmoor Psychiatric Center Medical Education Queens Village NY 11427 | |
| (718) 264-5030 | |
| Not Available |
| Full Name | Creedmor Psychiatric Center |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 7925 Winchester Boulevard, Queens Village, New York |
| Authorized Official Name and Position | Swapna Donepudi (PGY-1) |
| Authorized Official Contact | 9857136141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creedmor Psychiatric Center 3110 23rd St 5e Astoria NY 11106-4585 Ph: () - | Creedmor Psychiatric Center 7925 Winchester Boulevard Creedmoor Psychiatric Center Medical Education Queens Village NY 11427 Ph: (718) 264-5030 |
| NPI Number | 1497022800 |
|---|---|
| Provider Enumeration Date | 11/30/2011 |
| Last Update Date | 11/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497022800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Secondary |
| 283Q00000X | Psychiatric Hospital | (* (Not Available)) | Primary |
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