Organization
THERACARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER FEIN (DIRECTOR OF OPERATIONS)
(718) 477-0961
Entity
Organization
Contact information
Practice address
8 SANDPIPER DR, PARLIN, NJ 08859-2150
(347) 922-5940
Mailing address
8 SANDPIPER DR, PARLIN, NJ 08859-2150
(347) 922-5940
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
020464-1
NY
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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