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Organization
GERARD FURST AND MARJORIE RAVITZ DPM PC
Active
Organization
GERARD FURST AND MARJORIE RAVITZ DPM PC
Active
Other names
North Shore Podiatry Group
Organization subpart
No
Provider details
NPI number
Authorized official
MARJORIE RAVITZ DPM (PARTNER)
(631) 724-1166
Entity
Organization
Contact information
Practice address
260 MIDDLE COUNTRY ROAD, STE 104, SMITHTOWN, NY 11787-2982
(631) 724-1166
(631) 724-4130
Mailing address
260 MIDDLE COUNTRY ROAD, STE 104, SMITHTOWN, NY 11787
(631) 724-1166
(631) 724-4130
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0044604
GHI
NY
01
—
CJ0020
RR MEDICARE
NY
Enumeration date
10/16/2006
Last updated
02/21/2008
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