Tanya Nadene Clarke Carrasco

NPI #1063993897 in Freeport, New York

Provider Information

NPI Number
1063993897
Entity Type
Individual
Name
Tanya Nadene Clarke Carrasco
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Aug 29, 2018
Last Updated
Aug 29, 2018

Practice Location

Address
221 ATLANTIC AVE
ZIP Code
11520-4924
Phone
(646) 303-8750

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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