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Organization

RANDY BRAFF, LCSW, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RANDY LEE BRAFF LCSW-R (OWNER)
(631) 827-8387
Entity
Organization

Contact information

Practice address
2079 WANTAGH AVE STE 1C, WANTAGH, NY 11793-3924
(631) 827-8387
Mailing address
182 PHYLLIS DR, PATCHOGUE, NY 11772-2958
(631) 827-8387

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
11/25/2025
Last updated
11/25/2025
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