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Organization
SUFFOLK COUNTY FOOT CARE PLLC
Active
Organization
SUFFOLK COUNTY FOOT CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN BRADLEY RAVITZ DPM (DPM)
(631) 269-4600
Entity
Organization
Contact information
Practice address
63 MAIN ST, KINGS PARK, NY 11754-2706
(631) 269-4600
(631) 269-0801
Mailing address
63 MAIN ST, KINGS PARK, NY 11754-2706
(631) 269-4600
(631) 269-0801
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
03/14/2008
Last updated
02/04/2014
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