Functional Life

LBN: Functional Life
Functional Life is an health care organization with primary practice located at 8110 135Th St Apt 201 , Jamaica NY 11435-1041. The organization recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as the primary health care specialty. Functional Life can be contacted via phone (917) 412-7796, or through Rafaelov, Elena via phone (917) 412-7796.

Contact Information

Primary practice address
8110 135Th St Apt 201 Jamaica NY 11435-1041
Phone: (917) 412-7796
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rafaelov, Elena
Phone: (917) 412-7796

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X New York

Profile Details

NPI number 1265797096
LBN Legal business name Functional Life
DBA Doing business as
Authorized official Rafaelov, Elena
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2012
Last updated Jul 9th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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