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

Georgette Maria Clarke

Individual provider Early Intervention Provider Agency · NPI 1255803292

Georgette Maria Clarke is an Early Intervention Provider Agency in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018
Specialties on file
2

Practice location Address checks out

1042 E 102nd St
Brooklyn, NY 11236-4420
Phone: (646) 483-7828
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X · Licence 216775031 (NY)
Early Intervention Provider Agency Taxonomy 252Y00000X · Licence 121716021 (NY)

Record details

NPI number1255803292
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 31, 2018
Last updated in NPPESDecember 31, 2018

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