# THERACARE

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

## Provider details

- **NPI number:** 1437396249
- **Authorized official:** MRS. MARY JO VAHEY (PAYROLL)
- **Authorized official phone:** (718) 597-5558

## Contact information

- **Practice address:** 3855 ORLOFF AVE, 5A, BRONX, NY 10463-2609
- **Practice address phone:** (347) 602-8989
- **Mailing address:** 3855 ORLORF AVENUE, 5A, BRONX, NY 10463
- **Mailing address phone:** (347) 602-8989

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 003947-1 | NY | Yes |

## Other

- **Enumeration date:** 01/15/2009
- **Last updated:** 01/15/2009
