Healthcare Provider Details

I. General information

NPI: 1518874783
Provider Name (Legal Business Name): RANIA TAMIMI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16710 CROCHERON AVE APT 4G
FLUSHING NY
11358-2124
US

IV. Provider business mailing address

16710 CROCHERON AVE APT 4G
FLUSHING NY
11358-2124
US

V. Phone/Fax

Practice location:
  • Phone: 929-240-5700
  • Fax: 929-240-5700
Mailing address:
  • Phone: 929-240-5700
  • Fax: 929-240-5700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number071816
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: