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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