| Flex To Success Clinical Rehabilitation Services | |
|
450 Waverly Ave Ste 11 Patchogue NY 11772-1555 | |
| (631) 618-5940 | |
| Not Available |
| Full Name | Flex To Success Clinical Rehabilitation Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 450 Waverly Ave Ste 11, Patchogue, New York |
| Authorized Official Name and Position | Ramin Adrian Azarm (OWNER) |
| Authorized Official Contact | 6316185940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Flex To Success Clinical Rehabilitation Services 21 Grove Dr Mastic NY 11950-1603 Ph: (631) 618-5940 | Flex To Success Clinical Rehabilitation Services 450 Waverly Ave Ste 11 Patchogue NY 11772-1555 Ph: (631) 618-5940 |
| NPI Number | 1275297707 |
|---|---|
| Provider Enumeration Date | 10/30/2021 |
| Last Update Date | 10/30/2021 |
| Certification Date | 10/30/2021 |
| Medicare PECOS PAC ID | 3375926843 |
|---|---|
| Medicare Enrollment ID | O20220816001418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275297707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Ramin Azarm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932577301 PECOS PAC ID: 4688003965 Enrollment ID: I20200408000496 |
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