Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tara Shahgholi

Individual provider Registered Nurse · NPI 1013740380

Tara Shahgholi is a Registered Nurse in Selden, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

11 Gary Pl
Selden, NY 11784-1508
Phone: (917) 379-9560
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 468033 (NY)

Record details

NPI number1013740380
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 22, 2024
Last updated in NPPESAugust 22, 2024
Certification dateAugust 22, 2024
Mailing address11 Gary Pl, Selden, NY 11784-1508

Other providers in Selden