Organization
SUFFOLK COUNTY FOOT CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN B RAVITZ DPM (PODIATRIST)
(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
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01271269
CAID
—
05
—
01271269
—
NY
01
—
02216448
CAID
—
01
—
130904
VYTRA
—
01
—
19966
VYTRA
—
01
—
2154835
UNITED HEALTHCARE
—
01
—
6299184
GHI
—
01
—
9653126
GHI
—
01
—
CS267
OXFORD
—
01
—
P2654015
OXFORD
—
01
—
P55031
UNITED HEALTHCARE
—
Enumeration date
09/15/2006
Last updated
04/29/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us