Tara Shahgholi

NPI #1013740380 in Selden, New York

Provider Information

NPI Number: 1013740380
Entity Type: Individual
Name: Tara Shahgholi
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: Aug 22, 2024
Last Updated: Aug 22, 2024

Practice Location

Address: 11 GARY PL
City: Selden
State: New York
ZIP Code: 11784-1508
Phone: (917) 379-9560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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