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FUNCTIONAL LIFE, LLC

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Company Details

Name: FUNCTIONAL LIFE, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 08 Feb 2013 (12 years ago)
Entity Number: 4357751
ZIP code: 11580
County: Nassau
Place of Formation: New York
Address: 118 NORTH WALDINGER STREET, VALLEY STREAM, NY, United States, 11580

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 118 NORTH WALDINGER STREET, VALLEY STREAM, NY, United States, 11580

National Provider Identifier

NPI Number:
1265797096

Authorized Person:

Name:
ELENA RAFAELOV
Role:
SPECIAL EDUCATION TEACHER
Phone:

Taxonomy:

Selected Taxonomy:
252Y00000X - Early Intervention Provider Agency
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
130208000126 2013-02-08 ARTICLES OF ORGANIZATION 2013-02-08

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State