Suffolk County Foot Care Pllc
NPI #1114023660 in Kings Park, New York
Provider Information
- NPI Number
- 1114023660
- Entity Type
- Organization
- Organization Name
- Suffolk County Foot Care Pllc
- Primary Specialty
- Clinic/Center - Podiatric
- Enumeration Date
- Sep 15, 2006
- Last Updated
- Apr 29, 2011
Practice Location
- Address
- 63 MAIN ST
- City
- Kings Park
- State
- New York
- ZIP Code
- 11754-2706
- Phone
- (631) 269-4600
Authorized Official
- Name
- MR. STEPHEN B RAVITZ, DPM
- Title
- PODIATRIST
- Phone
- (631) 269-4600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Podiatric — Podiatric |
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