Organization
FUNCTIONAL LIFE ACHIEVEMENT, INC.
Active
Organization
FUNCTIONAL LIFE ACHIEVEMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIMMY YIN (FINANCIAL DIRECTOR)
(212) 683-8905
Entity
Organization
Contact information
Practice address
161 MADISON AVE, SUITE 2W, NEW YORK, NY 10016-5421
(212) 683-8905
(212) 683-8906
Mailing address
161 MADISON AVE, SUITE 2W, NEW YORK, NY 10016-5421
(212) 683-8905
(212) 683-8906
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
0692L001
NY
Other
Enumeration date
07/24/2009
Last updated
07/24/2009
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