| NPI | 1225325194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH E RICH Owner/Provider 631-656-5544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2011-06-29 |