Creedmoor Addiction Treatment Center

LBN: Creedmoor Addiction Treatment Center
Creedmoor Addiction Treatment Center is an health care organization with primary practice located at 80 45 Winchester Boulevard Building 19 Cbu 15, Queens Village NY 11427. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Creedmoor Addiction Treatment Center can be contacted via phone (718) 264-3740, or through Lawler, Michael A via phone (518) 457-5312.

Contact Information

Primary practice address
80 45 Winchester Boulevard Building 19 Cbu 15 Queens Village NY 11427
Phone: (718) 264-3740
Fax: (718) 776-5145
Website:
Map and Directions
Authorized official contact:
Name: Lawler, Michael A
Phone: (518) 457-5312

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1619059052
LBN Legal business name Creedmoor Addiction Treatment Center
DBA Doing business as
Authorized official Lawler, Michael A
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619059052 NPPES
New York MEDICAID 01438233

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