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Organization
THERACARE
Active
Organization
THERACARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA CROMER (EI RECRUITER)
(718) 830-9274
Entity
Organization
Contact information
Practice address
2150 31ST ST, APT. 7, ASTORIA, NY 11105-2675
(917) 602-9488
Mailing address
2150 31ST ST, APT. 7, ASTORIA, NY 11105-2675
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NULL
Other
Enumeration date
05/18/2014
Last updated
05/18/2014
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