Organization
FLEX TO SUCCESS CLINICAL REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMIN ADRIAN AZARM LCSW (OWNER)
(631) 618-5940
Entity
Organization
Contact information
Practice address
450 WAVERLY AVE STE 11, PATCHOGUE, NY 11772-1555
(631) 618-5940
Mailing address
21 GROVE DR, MASTIC, NY 11950-1603
(631) 618-5940
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/30/2021
Last updated
10/30/2021
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