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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