Functional Life
Functional Life is an Early Intervention Provider Agency in Jamaica, New York. Licensed in New York. Registered with an NPI since 2012.
- Licensed in
- NY
- In the registry since
- 2012
Practice location Address checks out
8110 135th St Apt 201Jamaica, NY 11435-1041
Phone: (917) 412-7796
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X (NY) |
|---|
Record details
| NPI number | 1265797096 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Elena Rafaelov — Special Education Teacher · (917) 412-7796 |
| NPI enumerated | July 9, 2012 |
| Last updated in NPPES | July 9, 2012 |
| Mailing address | 8110 135th St Apt 201, Jamaica, NY 11435-1041 |
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