Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Genesis Healthcare

Organization Early Intervention Provider Agency · NPI 1295022978

Genesis Healthcare is an Early Intervention Provider Agency in New York, New York. Licensed in Massachusetts and New York. Registered with an NPI since 2011.

Licensed in
MA, NY
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

161 Madison Ave 2nd Fl
New York, NY 10016-5421
Phone: (212) 683-8905
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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 · Licence 021023 (NY)
Skilled Nursing Facility Taxonomy 314000000X · Licence 7941 (MA)

Record details

NPI number1295022978
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alicia Wang — Speeh Language Pathologist · (617) 663-7023
Other names Funtional Life Achievement Inc.
NPI enumeratedJuly 1, 2011
Last updated in NPPESDecember 6, 2011
Mailing address206 E 17th St Apt 5c, New York, NY 10003-3636

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