# THERACARE

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

## Provider details

- **NPI number:** 1306285499
- **Authorized official:** JESSICA SANCHEZ M.S. SPED (SPECIAL EDUCATOR)
- **Authorized official phone:** (718) 830-9274

## Contact information

- **Practice address:** 9777 QUEENS BLVD, PENTHOUSE, REGO PARK, NY 11374-3335
- **Practice address phone:** (718) 830-9274
- **Practice address fax:** (718) 228-7829
- **Mailing address:** 9777 QUEENS BLVD, PENTHOUSE, REGO PARK, NY 11374-3335
- **Mailing address phone:** (718) 830-9274
- **Mailing address fax:** (718) 228-7829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 370785091 | NY | Yes |

## Other

- **Enumeration date:** 06/21/2013
- **Last updated:** 06/21/2013
