Provider Demographics
NPI:1558121236
Name:RAHMAN, TANZINA (LMSW)
Entity Type:Individual
Prefix:
First Name:TANZINA
Middle Name:
Last Name:RAHMAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:TANZINA
Other - Middle Name:
Other - Last Name:ZAKIR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:2255 78TH ST APT 2F
Mailing Address - Street 2:
Mailing Address - City:EAST ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11370-2112
Mailing Address - Country:US
Mailing Address - Phone:929-229-8514
Mailing Address - Fax:
Practice Address - Street 1:353 LEXINGTON AVE STE 310
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-0941
Practice Address - Country:US
Practice Address - Phone:888-604-6776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1200321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical