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Organization
THERACARE
Active
Organization
THERACARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TARA DOHERTY (SPECIAL EDUCATOR)
(914) 645-6607
Entity
Organization
Contact information
Practice address
1767 VETERANS HWY STE 22, ISLANDIA, NY 11749-1536
(718) 597-5558
Mailing address
180 CRESCENT PL, YONKERS, NY 10704-1631
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NULL
Other
Enumeration date
06/24/2012
Last updated
06/24/2012
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