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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TANYA NADENE CLARKE CARRASCO

Active Sole Proprietor

TANYA NADENE CLARKE CARRASCO is a Early Intervention Provider Agency healthcare provider located in FREEPORT, New York. NPI 1063993897 is currently active in the NPPES registry. Verify at CMS.

Early Intervention Provider Agency · FREEPORT, NY

Registration Details

NPI Number
1063993897
Provider Type
Individual
Gender
Female
NPI Issued
Aug 29, 2018 (8.0054871765641 yrs)
Last Updated
Aug 29, 2018
Sole Proprietor
Yes

Practice Information

Address
221 ATLANTIC AVE
FREEPORT, NY, 115204924
Browse NY providers · Browse ZIP 11520
Phone
6463038750
Primary Specialty
Early Intervention Provider Agency
252Y00000X

Other Early Intervention Provider Agency Providers in FREEPORT, NY

Name Credential NPI
MS. DELORES BARONETTE LMSW 1437386489
TRUDI ANN EDWARDS 1134537731
WINEFRED OYEBODE 1568831717
MS. SHURLAND E SMITH 1336970482
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.