# THERACARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194075598
- **Authorized official:** CYNDIA MONTERO (SERVICE COORDINATOR)
- **Authorized official phone:** (718) 830-9274

## Contact information

- **Practice address:** 97-77 QUEENS BLVD, PT, REGO PARK, NY 11374
- **Practice address phone:** (718) 830-9274
- **Mailing address:** 92-16 34TH AVE, APT3E, JACKSON HEIGHTS, NY 11372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 963056906 | NY | — |
| 252Y00000X | Early Intervention Provider Agency | 963056906 | NY | Yes |

## Other

- **Enumeration date:** 09/12/2012
- **Last updated:** 09/12/2012