Whalio Doctors

NPI 1164785150

Theracare

Organisation Early Intervention Provider Agency Islandia, NY

Practice location

Address
1767 Veterans Hwy STE 22, Islandia, NY 11749-1536
Phone
(718) 597-5558
Mailing address
180 Crescent Pl, Yonkers, NY 10704-1631

Authorised official

Name
Tara Doherty
Title
Special Educator
Phone
(914) 645-6607

Registered specialties

Early Intervention Provider Agency Primary
Agencies Taxonomy 252Y00000X

Registry record

NPI
1164785150
Entity type
Organization
NPI issued
24 Jun 2012
Record last updated
24 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.