Organization
THERACARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BANOME (SPECIAL ED TEACHER)
(914) 439-3785
Entity
Organization
Contact information
Practice address
20 CEDAR ST, NEW ROCHELLE, NY 10801-5247
(914) 576-5292
Mailing address
71 HEIGHTS DR, YONKERS, NY 10710-2401
(914) 439-3785
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
06/12/2012
Last updated
07/21/2022
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