Individual
LEILI SHAHGHOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
48 CEDAR ST, BROOKLYN, NY 11221-3253
(201) 654-6397
(201) 608-9241
Mailing address
PO BOX 22239, NEW YORK, NY 10087-0001
(201) 654-6397
(201) 608-9241
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
330773
NY
Other
Enumeration date
05/29/2014
Last updated
07/27/2026
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