MEDICARE: THERAPEUTIC LINKS INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)	0143411	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912216086
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAPEUTIC LINKS INC.

Provider Business Mailing Address
First Line	:	3942 E TREMONT AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10465-2902
Country	:	US
Telephone Number	:	347-398-8358
Fax Number	:

Provider Business Practice Location Address
First Line	:	3942 E TREMONT AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10465-2902
Country	:	US
Telephone Number	:	347-398-8358
Fax Number	:

Authorized Official
Title or Position	:	SPEECH-LANGUAGE PATHOLOGIST
Name	:	MRS. TANIA MORALES-VELAZQUEZ
Credential	:	CCC/SLP/TSHH
Telephone Number	:	347-398-8358

Provider Enumeration Date	:	10/06/2010
Last Update Date	:	10/06/2010

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Directions to “THERAPEUTIC LINKS INC. ” Practice Location

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