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NPI Code Detail

MEDICARE: HAPPY LIFE INC.

MEDICARE: HAPPY LIFE INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1305S00000XPoint of Service

General Provider Information

NPI Number : 1174956437
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAPPY LIFE INC.
Provider Business Mailing Address
First Line : 3033 EMMONS AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-2212
Country : US
Telephone Number : 917-498-4211
Fax Number : 718-676-5589
Provider Business Practice Location Address
First Line : 3033 EMMONS AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-2212
Country : US
Telephone Number : 917-498-4211
Fax Number : 718-676-5589
Authorized Official
Title or Position : OWNER /PROGRAM DIRECTOR
Name : DIANA RAFAILOVA
Credential :
Telephone Number : 917-498-4211
Provider Enumeration Date : 08/09/2013
Last Update Date : 08/09/2013

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