Organization
THERACARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNDIA MONTERO (SERVICE COORDINATOR)
(718) 830-9274
Entity
Organization
Contact information
Practice address
97-77 QUEENS BLVD, PT, REGO PARK, NY 11374
(718) 830-9274
Mailing address
92-16 34TH AVE, APT3E, JACKSON HEIGHTS, NY 11372
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
963056906
NY
252Y00000X
Early Intervention Provider Agency
Primary
963056906
NY
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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