Individual
TASHA T ALFONSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 MINK LN, EAST SETAUKET, NY 11733-3507
(347) 753-4511
Mailing address
17 MINK LN, EAST SETAUKET, NY 11733-3507
(347) 753-4511
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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