Clarke Carrasco, Tanya Nadene

Clarke Carrasco, Tanya Nadene is an sole proprietor health care provider with primary practice located at 221 Atlantic Ave , Freeport NY 11520-4924. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Clarke Carrasco, Tanya Nadene can be contacted via phone (646) 303-8750.

Contact Information

Primary practice address
221 Atlantic Ave Freeport NY 11520-4924
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X New York

Profile Details

NPI number 1063993897
LBN Legal business name Clarke Carrasco, Tanya Nadene
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2018
Last updated Aug 29th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers