Organization
THERACARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELCEY OYENIYI (AGENCY LIAISON)
(212) 564-2350
Entity
Organization
Contact information
Practice address
111 LIVINGSTON ST STE 1101, BROOKLYN, NY 11201-5068
(212) 564-2350
Mailing address
111 LIVINGSTON ST STE 1101, BROOKLYN, NY 11201-5068
(212) 564-2350
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
20058085
NY
252Y00000X
Early Intervention Provider Agency
1164785150
NY
252Y00000X
Early Intervention Provider Agency
Primary
20058087
NY
Other
Enumeration date
02/20/2015
Last updated
02/20/2015
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