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Organization
THERACARE MANAGED SERVICES, LLC
Active
Organization
THERACARE MANAGED SERVICES, LLC
Active
Parent organization
THERACARE OF NEW YORK, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
THERACARE OF NEW YORK, INC.
Authorized official
MR. JOHN CALDERON (PRESIDENT/CEO)
(212) 564-2350
Entity
Organization
Contact information
Practice address
11-20 46TH ROAD, LONG ISLAND CITY, NY 11101
(855) 681-8555
(914) 560-2102
Mailing address
116 WEST 32ND ST., 8TH FLR., NEW YORK, NY 10001
(212) 564-2350
(212) 564-2578
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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