CREEDMOOR PSYCHIATRIC CENTER NPI 1699817577

NPI Information

CREEDMOOR PSYCHIATRIC CENTER is a psychiatric hospital in Port Washington, NY. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. CREEDMOOR PSYCHIATRIC CENTER NPI is 1699817577. The provider is registered as an organization entity type.

The provider's business location address is:

31 ROSLYN WEST SHORE RD,
PORT WASHINGTON, NY
ZIP 11050
Phone: (516) 883-4757

The provider's authorized official is Alan Diner .
The authorized official title is Medical Director and has the following contact phone number (718) 264-4046.

The CLIA number assigned to this NPI record is 33D2029184 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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