Organization
THERA AIR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN E KIDD (CEO)
(845) 551-1801
Entity
Organization
Contact information
Practice address
9 RIVERSIDE DR, PINE BUSH, NY 12566-5734
(845) 551-1801
Mailing address
PO BOX 963, PINE BUSH, NY 12566-0963
(845) 551-1801
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
11/13/2007
Last updated
11/13/2007
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