Organization
THERACARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN CALDERON (PRESIDENT)
(212) 564-2350
Entity
Organization
Contact information
Practice address
6 AGAR AVE, NEW ROCHELLE, NY 10801-5302
(914) 500-5092
Mailing address
6 AGAR AVE, NEW ROCHELLE, NY 10801-5302
(914) 500-5092
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
004907
NY
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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