Organization
THERAPEUTIC RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA VELASQUEZ (SPECIAL INSTRUCTOR)
(347) 731-3579
Entity
Organization
Contact information
Practice address
3418 NORTHERN BLVD STE 5-5, LONG ISLAND CITY, NY 11101-2807
(212) 920-2904
Mailing address
2542 14TH PL APT 2F, ASTORIA, NY 11102-3560
(347) 731-3579
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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