| NPI | 1174404909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA NASIR GORE Neuropsychologist 917-475-6421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2025-09-09 |
| Last Update Date | 2025-09-09 |