Organization
FUNCTIONAL LIFE ACHIEVEMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ZARINA YUSUFOV (SPEECH PATHOLOGIST CFY)
(917) 618-9050
Entity
Organization
Contact information
Practice address
236 2ND AVE, NEW YORK, NY 10003-2704
(917) 618-9050
Mailing address
2749 MILL AVE FL 2, BROOKLYN, NY 11234-6421
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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