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

Tanya Nadene Clarke Carrasco

Individual provider Early Intervention Provider Agency · NPI 1063993897

Tanya Nadene Clarke Carrasco is an Early Intervention Provider Agency in Freeport, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018

Practice location Address checks out

221 Atlantic Ave
Freeport, NY 11520-4924
Phone: (646) 303-8750
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 (NY)

Record details

NPI number1063993897
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 29, 2018
Last updated in NPPESAugust 29, 2018

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