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1760674519
CREEDMOOR PC
QUEENS VILLAGE, NY
NPI
1760674519
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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
2007-08-15
Last Update Date
2014-08-27
Business Address
CREEDMOOR PC
7925 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427-2128
Phone number: 718-464-7500
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Mailing Address
CREEDMOOR PC
44 HOLLAND AVE
ALBANY, NY 12229-0001
Phone number:
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