Organization
THERACARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA MAYER MS (EVALUATION COORDINATOR)
(718) 966-4552
Entity
Organization
Contact information
Practice address
926 47TH ST, APT D1, BROOKLYN, NY 11219-2861
(718) 864-7721
(718) 972-1493
Mailing address
926 47TH ST, APT D1, BROOKLYN, NY 11219-2861
(718) 864-7721
(718) 972-1493
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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