Healthcare Provider Details

I. General information

NPI: 1316121213
Provider Name (Legal Business Name): UNIQUE LIFE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1994 HUGHES AVE
BRONX NY
10457-4902
US

IV. Provider business mailing address

1994 HUGES AVE
BRONX NY
10457
US

V. Phone/Fax

Practice location:
  • Phone: 347-449-7891
  • Fax: 347-449-7888
Mailing address:
  • Phone: 347-449-7891
  • Fax: 347-449-7888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNY

VIII. Authorized Official

Name: DR. AKWASI ACHAMPONG
Title or Position: EXECUTIVE DIRECTOR
Credential: M.D
Phone: 347-449-7891