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Organization
THERACARE
Active
Organization
THERACARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELENA BARBOSA MS ED. (OSC SERVICE COORDIANTOR)
(845) 496-5103
Entity
Organization
Contact information
Practice address
2510 WESTCHESTER AVE, BRONX, NY 10461-3585
(718) 597-5558
Mailing address
10 ORCHARD LAKE DR, MONROE, NY 10950-6503
(845) 496-5103
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
02/14/2014
Last updated
02/14/2014
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