Osteo Relief Of Long Island Pc

NPI 1225325194 - Physical Medicine & Rehabilitation - 2081P2900X

NPI Details
NPI 1225325194
Enumeration Date 06/29/2011
Last Updated 06/29/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name KENNETH E KENNETH
Position OWNER/PROVIDER
Phone (631) 656-5544
Fax
Practice Location
363 ROUTE 111
SUITE 107
SMITHTOWN NY, 11787-4756, US
Phone (631) 656-5544
Fax
Business Location
363 ROUTE 111
SUITE 107
SMITHTOWN NY, 11787-4756, US
Phone (631) 656-5544
Fax
Toxanomy
Taxonomy Code 2081P2900X
License State
License Number
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According to our database, Osteo Relief Of Long Island Pc NPI is 1225325194, taxonomy code is 2081P2900X Osteo Relief Of Long Island Pc physically located at 363 Route 111, Smithtown NY, 11787-4756. NPI Number 1033115704 has the healthcare provider type.

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1225325194 NPI number is provided on an as is basis without warranty of any kind. 1225325194 is maintained by the National Plan & Provider Enumeration System. The contents of Osteo Relief Of Long Island Pc are for informational purposes only.