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1003970906
CREEDMOOR PSYCHIATRIC CENTER
QUEENS VILLAGE, NY
NPI
1003970906
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Entity Type
Organization
Authorized Contact
ROBERT PUCCIO
Director, Finance
518-473-0795
Organization Subpart ?
No
Primary Taxonomy
302R00000X Health Maintenance Organization
Enumeration Date
2006-12-22
Last Update Date
2008-08-01
Business Address
CREEDMOOR PSYCHIATRIC CENTER
8045 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427-2193
Phone number: 718-464-7500
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Mailing Address
CREEDMOOR PSYCHIATRIC CENTER
44 HOLLAND AVE
ALBANY, NY 12229-0001
Phone number:
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