Gore, Tara Nasir

Gore, Tara Nasir is an sole proprietor health care provider with primary practice located at 3298 Victory Blvd , Staten Island NY 10314-6727. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Gore, Tara Nasir can be contacted via phone (917) 475-6421.

Contact Information

Primary practice address
3298 Victory Blvd Staten Island NY 10314-6727
Phone: (917) 475-6421
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / School 103TS0200X
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X

Profile Details

NPI number 1295263739
LBN Legal business name Gore, Tara Nasir
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2017
Last updated Apr 25th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers