Provider Demographics
NPI:1306409644
Name:CARRASCO DE OLEA, TASMANIA J (TEACHER)
Entity Type:Individual
Prefix:MS
First Name:TASMANIA
Middle Name:J
Last Name:CARRASCO DE OLEA
Suffix:
Gender:F
Credentials:TEACHER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 PURCHASE ST APT D1
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NY
Mailing Address - Zip Code:10580-2103
Mailing Address - Country:US
Mailing Address - Phone:914-714-1866
Mailing Address - Fax:
Practice Address - Street 1:224 PURCHASE ST APT D1
Practice Address - Street 2:
Practice Address - City:RYE
Practice Address - State:NY
Practice Address - Zip Code:10580-2103
Practice Address - Country:US
Practice Address - Phone:914-714-1866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-22
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist