Organization
FUNCTION BUILDER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA JUSON P.T. (PHYSICAL THERAPIST)
(917) 293-8821
Entity
Organization
Contact information
Practice address
7210 164TH ST, FRESH MEADOWS, NY 11365-4222
(718) 591-2064
(718) 591-2064
Mailing address
7210 164TH ST, FRESH MEADOWS, NY 11365-4222
(718) 591-2064
(718) 591-2064
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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