Individual
DR. TARA NASIR GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3298 VICTORY BLVD, STATEN ISLAND, NY 10314-6727
(917) 475-6421
Mailing address
3298 VICTORY BLVD, STATEN ISLAND, NY 10314-6727
(917) 475-6421
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TS0200X
School Psychologist
—
—
Other
Enumeration date
05/29/2017
Last updated
04/25/2023
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