Creedmoor Psychiatric Center

LBN: Creedmoor Psychiatric Center
Creedmoor Psychiatric Center is an health care organization with primary practice located at 8045 Winchester Blvd , Queens Village NY 11427-2193. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Creedmoor Psychiatric Center can be contacted via phone (718) 464-7500, or through Puccio, Robert via phone (518) 473-0795.

Contact Information

Primary practice address
8045 Winchester Blvd Queens Village NY 11427-2193
Phone: (718) 464-7500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Puccio, Robert
Phone: (518) 473-0795

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X New York

Profile Details

NPI number 1003970906
LBN Legal business name Creedmoor Psychiatric Center
DBA Doing business as
Authorized official Puccio, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2006
Last updated Aug 1st, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1003970906 NPPES
New York MEDICAID 01618928

Popular Providers