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Individual

MR. KEVIN RICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
150 MOTOR PKWY STE 401, HAUPPAUGE, NY 11788-5108
(631) 238-1509
(631) 980-3686
Mailing address
28 WINDSOR ST, CENTEREACH, NY 11720-4206
(631) 478-9763
(631) 980-3686

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403050
NY

Other

Enumeration date
03/03/2022
Last updated
02/11/2025
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