# THERCARE

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

## Provider details

- **NPI number:** 1386097897
- **Authorized official:** STEPHANIE ROXANA GUTIERREZ (SERVICE COORDINATOR)
- **Authorized official phone:** (718) 354-6543

## Contact information

- **Practice address:** 2025 RICHMOND AVENUE, SUITE 200, STATEN ISLAND, NY 10314
- **Practice address phone:** (718) 698-1753
- **Mailing address:** 85 LOCUST AVENUE, STATEN ISLAND, NY 10306
- **Mailing address phone:** (718) 354-6543

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 362694726 | NY | Yes |

## Other

- **Enumeration date:** 07/20/2016
- **Last updated:** 07/20/2016