Mr Stephen Bradley Ravitz, DPM | |
63 Main Street, Kings Park, NY 11754 | |
(631) 269-4600 | |
(631) 269-0801 |
Full Name | Mr Stephen Bradley Ravitz |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 34 Years |
Location | 63 Main Street, Kings Park, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407933484 | NPI | - | NPPES |
19966 | Other | VYTRA | |
4C1647 | Other | HEALTHNET | |
6299184 | Other | GHI | |
01271269 | Medicaid | NY | |
P55031 | Other | BLUE CROSS | |
C5267 | Other | OXFORD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | N004798 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Suffolk County Foot Care Pllc | 3678463940 | 2 |
Provider Name | Suffolk County Foot Care Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1114023660 PECOS PAC ID: 3678463940 Enrollment ID: O20110428000704 |
Mailing Address | Practice Location Address |
---|---|
Mr Stephen Bradley Ravitz, DPM 63 Main Street, Kings Park, NY 11754 Ph: (631) 269-4600 | Mr Stephen Bradley Ravitz, DPM 63 Main Street, Kings Park, NY 11754 Ph: (631) 269-4600 |
Joseph Sebastian Lobianco, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 8 Ravenwood Dr, Kings Park, NY 11754 Phone: 631-361-5445 Fax: 631-361-9163 | |
Kings Park Podiatry Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 160 E Northport Rd, Kings Park, NY 11754 Phone: 631-269-6060 Fax: 631-269-7173 | |
Suffolk County Foot Care Pllc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 63 Main St, Kings Park, NY 11754 Phone: 631-269-4600 Fax: 631-269-0801 |