Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carla M. Shane

Individual provider Early Intervention Provider Agency · NPI 1518640762

Carla M. Shane is an Early Intervention Provider Agency in Tuckahoe, New York. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

21 Fairview Ave Apt L2
Tuckahoe, NY 10707-4122
Phone: (646) 977-2245
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Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X

Record details

NPI number1518640762
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 14, 2023
Last updated in NPPESAugust 14, 2023
Certification dateAugust 13, 2023
Mailing address21 Fairview Ave Apt L2, Tuckahoe, NY 10707-4122

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