Organization
THERACARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARITA LONG (SPECIAL EDUCATION TEACHER)
(646) 577-2079
Entity
Organization
Contact information
Practice address
2730 FREDERICK DOUGLASS BLVD, 5D, NEW YORK, NY 10039-3054
(646) 577-2079
Mailing address
2730 FREDERICK DOUGLASS BLVD, 5D, NEW YORK, NY 10039-3054
(646) 577-2079
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
814615
NY
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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