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
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 - PodiatricPodiatric

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