Organization
MARJORIE C. RAVITZ DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARJORIE C RAVITZ DPM (OWNER)
(631) 724-1166
Entity
Organization
Contact information
Practice address
260 MIDDLE COUNTRY RD, SUITE 104, SMITHTOWN, NY 11787-2982
(631) 724-1166
(631) 724-4130
Mailing address
260 MIDDLE COUNTRY RD, SUITE 104, SMITHTOWN, NY 11787-2982
(631) 724-1166
(631) 724-4130
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N4126
NY
Other
Enumeration date
05/29/2008
Last updated
05/12/2009
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