# THERACORE OT, PC

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

## Provider details

- **NPI number:** 1720526668
- **Authorized official:** MR. BENITO A FLORES OT (OWNER)
- **Authorized official phone:** (845) 480-1760

## Contact information

- **Practice address:** 778 MORRIS PARK AVE \# 38, BRONX, NY 10462-3652
- **Practice address phone:** (800) 678-8605
- **Mailing address:** 778 MORRIS PARK AVE \# 38, BRONX, NY 10462-3652
- **Mailing address phone:** (800) 678-8605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171W00000X | Contractor | 011975 | NY | Yes |

## Other

- **Enumeration date:** 02/10/2017
- **Last updated:** 04/15/2018