NPI 1497022800

Creedmor Psychiatric Center

Organisation Psychiatric Hospital Queens Village, NY

Practice location

Address: 7925 Winchester Boulevard Creedmoor Psychiatric Center Medical Education, Queens Village, NY 11427
Phone: (718) 264-5030
Mailing address: 3110 23rd St 5e, Astoria, NY 11106-4585

Authorised official

Name: Swapna Donepudi
Title: Pgy-1
Phone: (985) 713-6141

Registered specialties (2)

Psychiatric Hospital Primary

Hospitals Taxonomy 283Q00000X

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Psychiatric Hospital Unit

Hospital Units Taxonomy 273R00000X

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Registry record

NPI: 1497022800
Entity type: Organization
NPI issued: 30 Nov 2011
Record last updated: 30 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.