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Mr. Stephen Bradley Ravitz, DPM
Podiatrist in Kings Park, New York
NPI 1407933484

Stephen Bradley Ravitz is a Podiatrist based in Kings Park, NY. Stephen Bradley Ravitz practices in Kings Park, NY and has the professional credentials of DPM. The NPI Number for Stephen Bradley Ravitz is 1407933484 and holds a License No. N004798 (New York).

The current practice location address for Stephen Bradley Ravitz is 63 Main Street, Kings Park, NY and can be reached out via phone at 631-269-4600 and via fax at 631-269-0801.

Location: 63 Main Street, Kings Park, NY, 11754
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407933484
Provider Name
Stephen Bradley Ravitz
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
63 Main Street, Kings Park, NY, 11754
Phone Number
631-269-4600
Fax Number
631-269-0801
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
19966 01 VYTRA
4C1647 01 HEALTHNET
6299184 01 GHI
01271269 05 NY
P55031 01 BLUE CROSS
C5267 01 OXFORD
institution
Provider Business Practice Location Address Details
Address
63 Main Street
City
Kings Park
State
New York
Zip
11754
Phone Number
631-269-4600
Fax Number
631-269-0801
person
Provider Business Mailing Address Details
Address
63 Main Street
City
Kings Park
State
New York
Zip
11754
Phone Number
631-269-4600
Fax Number
631-269-0801
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
N004798 (New York)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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