Organization
THERACARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NITTA MATHEW (SPEECH LANGUAGE PATHOLOGIST)
(718) 710-6063
Entity
Organization
Contact information
Practice address
1 BEAUMONT CIR, APT. 4, YONKERS, NY 10710-1562
(718) 710-6063
Mailing address
1 BEAUMONT CIR, APT #4, YONKERS, NY 10710-1562
(718) 710-6063
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
020724-1
NY
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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