| Resources And Innovation For Spectrum Excelle | |
|
3 Gary Pl Selden NY 11784-1508 | |
| (631) 404-6871 | |
| Not Available |
| Full Name | Resources And Innovation For Spectrum Excelle |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 3 Gary Pl, Selden, New York |
| Authorized Official Name and Position | Rafi Fazli (PRESIDENT) |
| Authorized Official Contact | 6314046871 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Resources And Innovation For Spectrum Excelle 3 Gary Pl Selden NY 11784-1508 Ph: (631) 404-6871 | Resources And Innovation For Spectrum Excelle 3 Gary Pl Selden NY 11784-1508 Ph: (631) 404-6871 |
| NPI Number | 1154251932 |
|---|---|
| Provider Enumeration Date | 05/21/2026 |
| Last Update Date | 05/21/2026 |
| Certification Date | 05/21/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154251932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
Virginia L Medina-lomas, Lcsw-r Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1305 Middle Country Rd Ste 14d, Selden, NY 11784 Phone: 631-833-8266 | |
Bashir Ahmed, M.d. Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1305 Middle Country Rd, Suite #2, Selden, NY 11784 Phone: 631-320-3053 | |
Tru Outreach Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 21 Ruland Rd, Selden, NY 11784 Phone: 631-740-2517 |