# OSTEO RELIEF OF LONG ISLAND PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225325194
- **Authorized official:** DR. KENNETH E RICH MD (OWNER/PROVIDER)
- **Authorized official phone:** (631) 656-5544

## Contact information

- **Practice address:** 363 ROUTE 111, SUITE 107, SMITHTOWN, NY 11787-4756
- **Practice address phone:** (631) 656-5544
- **Mailing address:** 363 ROUTE 111, SUITE 107, SMITHTOWN, NY 11787-4756
- **Mailing address phone:** (631) 656-5544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/29/2011
- **Last updated:** 06/29/2011