KENNETH RICH MD PC
Osteopathic Medicine at Route 111, Smithtown, NY

License number
New York 2611911
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: DR. WILDER RUCKER MD
Title: OWNER / PROVIDER
Phone: (830) 238-4112
Address
Address
363 Route 111 STE 107-B, Smithtown, NY 11787
National Provider ID: 1275814105
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KENNETH RICH, M.D., PC

363 Rte 111 STE 107, Smithtown, NY 11787

Registration:
Aug 25, 2011
State ID:
4135234
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Dr Kenneth Rich, 363 Rte 111 STE 107, Smithtown, NY 11787 (Physical)

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