Organization
TERAPRO. CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS ANTONIO BENT (SENIOR OCCUPATIONAL THERAPIST)
(718) 249-5884
Entity
Organization
Contact information
Practice address
2717 SCHLEIGEL BLVD, AMITYVILLE, NY 11701-1345
(718) 404-2185
Mailing address
PO BOX 30088, BROOKLYN, NY 11203-0088
(718) 404-2185
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
0089371
NY
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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