Provider Demographics
NPI:1205001369
Name:ZEITOUN, LISA HOROWITZ (AUD)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:HOROWITZ
Last Name:ZEITOUN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 E 210TH STREET
Mailing Address - Street 2:MAP 3RD FLOOR
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467
Mailing Address - Country:US
Mailing Address - Phone:718-920-8217
Mailing Address - Fax:718-920-8112
Practice Address - Street 1:3400 BAINBRIDGE AVE
Practice Address - Street 2:MONTEFIORE MEDICAL CENTER/MAP 3RD FLOOR
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2404
Practice Address - Country:US
Practice Address - Phone:718-920-8217
Practice Address - Fax:718-920-8112
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000566231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist