Organization
OSTEO RELIEF OF LONG ISLAND PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH E RICH MD (OWNER/PROVIDER)
(631) 656-5544
Entity
Organization
Contact information
Practice address
363 ROUTE 111, SUITE 107, SMITHTOWN, NY 11787-4756
(631) 656-5544
Mailing address
363 ROUTE 111, SUITE 107, SMITHTOWN, NY 11787-4756
(631) 656-5544
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
06/29/2011
Last updated
06/29/2011
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