Organization
THERACORE OT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENITO A FLORES OT (OWNER)
(845) 480-1760
Entity
Organization
Contact information
Practice address
778 MORRIS PARK AVE # 38, BRONX, NY 10462-3652
(800) 678-8605
Mailing address
778 MORRIS PARK AVE # 38, BRONX, NY 10462-3652
(800) 678-8605
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
011975
NY
Other
Enumeration date
02/10/2017
Last updated
04/15/2018
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