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Organization
RESOURCES AND INNOVATION FOR SPECTRUM EXCELLE
Active
Organization
RESOURCES AND INNOVATION FOR SPECTRUM EXCELLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAFI FAZLI (PRESIDENT)
(631) 404-6871
Entity
Organization
Contact information
Practice address
3 GARY PL, SELDEN, NY 11784-1508
(631) 404-6871
Mailing address
3 GARY PL, SELDEN, NY 11784-1508
(631) 404-6871
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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