Provider Demographics
NPI:1487105888
Name:TAWIL, RANA (LMSW)
Entity type:Individual
Prefix:
First Name:RANA
Middle Name:
Last Name:TAWIL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4330 BYRON AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10466-1608
Mailing Address - Country:US
Mailing Address - Phone:718-324-7526
Mailing Address - Fax:718-994-8465
Practice Address - Street 1:4330 BYRON AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466-1608
Practice Address - Country:US
Practice Address - Phone:718-324-7526
Practice Address - Fax:718-994-8465
Is Sole Proprietor?:No
Enumeration Date:2016-10-20
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY099045-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker