Healthcare Provider Details

I. General information

NPI: 1487313623
Provider Name (Legal Business Name): RANA SIOUFI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2021
Last Update Date: 08/26/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 W 58TH ST STE 409
NEW YORK NY
10019-1820
US

IV. Provider business mailing address

570 FORT WASHINGTON AVE APT 74A
NEW YORK NY
10033-2063
US

V. Phone/Fax

Practice location:
  • Phone: 212-221-4567
  • Fax: 212-877-5504
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number024474
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: