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
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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