Provider Demographics
NPI:1730845512
Name:LAYACHI, ZITOUNI
Entity type:Individual
Prefix:
First Name:ZITOUNI
Middle Name:
Last Name:LAYACHI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 W 106TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-3726
Mailing Address - Country:US
Mailing Address - Phone:929-328-6628
Mailing Address - Fax:
Practice Address - Street 1:2488 GRAND CONCOURSE RM 417
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-5206
Practice Address - Country:US
Practice Address - Phone:718-584-3204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-16
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic TrainerGroup - Single Specialty