Provider Demographics
NPI:1265160923
Name:ALMOSAWI, LAYAL
Entity type:Individual
Prefix:
First Name:LAYAL
Middle Name:
Last Name:ALMOSAWI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 S 4TH ST APT 4G
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-5503
Mailing Address - Country:US
Mailing Address - Phone:218-481-4785
Mailing Address - Fax:
Practice Address - Street 1:928 BROADWAY STE 1105
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-8111
Practice Address - Country:US
Practice Address - Phone:646-224-1164
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-10
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP127513103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical