Creedmoor PC
NPI #1760674519 in Queens Village, New York
Provider Information
- NPI Number
- 1760674519
- Entity Type
- Organization
- Organization Name
- Creedmoor PC
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Aug 15, 2007
- Last Updated
- Aug 27, 2014
Practice Location
- Address
- 7925 WINCHESTER BLVD
- City
- Queens Village
- State
- New York
- ZIP Code
- 11427-2128
- Phone
- (718) 464-7500
Authorized Official
- Name
- ROBERT PUCCIO
- Title
- DIRECTOR FINANCE
- Phone
- (518) 473-0795
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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