| Ramin Azarm Lcsw P.c. | |
|
450 Waverly Ave Ste 11 Patchogue NY 11772-1555 | |
| (631) 618-5940 | |
| Not Available |
| Full Name | Ramin Azarm Lcsw P.c. |
|---|---|
| Speciality | Social Worker |
| 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 |
|---|---|
| Ramin Azarm Lcsw P.c. 450 Waverly Ave Ste 11 Patchogue NY 11772-1555 Ph: (631) 618-5940 | Ramin Azarm Lcsw P.c. 450 Waverly Ave Ste 11 Patchogue NY 11772-1555 Ph: (631) 618-5940 |
| NPI Number | 1508632340 |
|---|---|
| Provider Enumeration Date | 12/04/2023 |
| Last Update Date | 12/19/2023 |
| Certification Date | 12/19/2023 |
| Medicare PECOS PAC ID | 3274983440 |
|---|---|
| Medicare Enrollment ID | O20231229002275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508632340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (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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