# THERACARE

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

## Provider details

- **NPI number:** 1801288329
- **Authorized official:** KELCEY OYENIYI (AGENCY LIAISON)
- **Authorized official phone:** (212) 564-2350

## Contact information

- **Practice address:** 111 LIVINGSTON ST STE 1101, BROOKLYN, NY 11201-5068
- **Practice address phone:** (212) 564-2350
- **Mailing address:** 111 LIVINGSTON ST STE 1101, BROOKLYN, NY 11201-5068
- **Mailing address phone:** (212) 564-2350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251300000X | Local Education Agency (LEA) | 20058085 | NY | — |
| 252Y00000X | Early Intervention Provider Agency | 1164785150 | NY | — |
| 252Y00000X | Early Intervention Provider Agency | 20058087 | NY | Yes |

## Other

- **Enumeration date:** 02/20/2015
- **Last updated:** 02/20/2015