Organization
FUNCTIONAL LIFE ACHIEVEMENTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIAN SHENG (EXECUTIVE DIRECTOR)
(212) 683-8905
Entity
Organization
Contact information
Practice address
236 2ND AVE, NEW YORK, NY 10003-2704
(212) 683-8905
(212) 683-8906
Mailing address
236 2ND AVE, NEW YORK, NY 10003-2704
(212) 683-8905
(212) 683-8906
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03341664
—
NY
Enumeration date
06/12/2012
Last updated
06/12/2012
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