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Organization
THERAPEUTIC INTERVENTION PROGRAMS, INC
Active
Organization
THERAPEUTIC INTERVENTION PROGRAMS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA C MCNEIL TUCKER LCSW (EXECUTIVE DIRECTOR)
(917) 270-5558
Entity
Organization
Contact information
Practice address
11711 FRANCIS LEWIS BLVD, CAMBRIA HEIGHTS, NY 11411-1521
(917) 270-5558
(347) 594-5793
Mailing address
11711 FRANCIS LEWIS BLVD, CAMBRIA HEIGHTS, NY 11411-1521
(917) 270-5558
(347) 594-5793
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R053103-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
533116
VALUE OPTIONS
NY
05
—
533116
—
NY
Enumeration date
01/23/2007
Last updated
08/22/2020
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