| Suffolk County Foot Care Pllc | |
|
63 Main St, Kings Park, NY 11754-2706 | |
| (631) 269-4600 | |
| (631) 269-0801 |
| Full Name | Suffolk County Foot Care Pllc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 63 Main St, Kings Park, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770754020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Suffolk County Foot Care Pllc 63 Main St, Kings Park, NY 11754-2706 Ph: (631) 269-4600 | Suffolk County Foot Care Pllc 63 Main St, Kings Park, NY 11754-2706 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 | |
Mr. Stephen Bradley Ravitz, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 63 Main Street, Kings Park, NY 11754 Phone: 631-269-4600 Fax: 631-269-0801 | |
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 |