MR. Stephen Bradley Ravitz, DPM
NPI #1407933484 in Kings Park, New York
Provider Information
- NPI Number
- 1407933484
- Entity Type
- Individual
- Name
- MR. Stephen Bradley Ravitz, DPM
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Podiatrist
- Credential
- DPM
- Enumeration Date
- Nov 1, 2006
- Last Updated
- Mar 5, 2008
Practice Location
- Address
- 63 MAIN STREET
- City
- Kings Park
- State
- New York
- ZIP Code
- 11754
- Phone
- (631) 269-4600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist |
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Organizations
| Provider Name | |
|---|---|
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