Creedmoor Psychiatric Center

NPI #1821467788 in Elmont, New York

Provider Information

NPI Number: 1821467788
Entity Type: Organization
Organization Name: Creedmoor Psychiatric Center
Primary Specialty: Case Management
Enumeration Date: Sep 22, 2015
Last Updated: Sep 22, 2015

Practice Location

Address: 137 HEATHCOTE RD
City: Elmont
State: New York
ZIP Code: 11003-2005
Phone: (516) 305-5787

Authorized Official

Name: MRS. MARIE GERMAINE LAROQUE, REGISTERED NURSE
Title: REGISTERED NURSE
Phone: (516) 305-5787

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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