Organization
THERACARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY JO VAHEY (PAYROLL)
(718) 597-5558
Entity
Organization
Contact information
Practice address
3855 ORLOFF AVE, 5A, BRONX, NY 10463-2609
(347) 602-8989
Mailing address
3855 ORLORF AVENUE, 5A, BRONX, NY 10463
(347) 602-8989
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
003947-1
NY
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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