Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Creedmoor Addiction Treatment Center

Organization Community/Behavioral Health Agency · NPI 1619059052

Creedmoor Addiction Treatment Center is a Community/Behavioral Health Agency in Queens Village, New York. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

80 45 Winchester Blvd Bldg 19 Cbu 15
Queens Village, NY 11427
Phone: (718) 264-3740
Fax: (718) 776-5145
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1619059052
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Lawler — Associate Commissioner, Division Of · (518) 457-5312
NPI enumeratedOctober 19, 2006
Last updated in NPPESAugust 22, 2020
Mailing address80 45 Winchester Boulevard, Building 19 Cbu 15, Queens Village, NY 11427

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