OrganizationActive
Suffolk County Foot Care PLLC
NPI 1114023660 · Podiatric Clinic/Center · Kings Park, NY
Provider details
- NPI number
- 1114023660
- Entity type
- Organization
- Primary specialty
- Podiatric Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stephen Ravitz, Podiatrist(631) 269-4600
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
63 Main St
Kings Park, NY 11754-2706
Phone: (631) 269-4600
Fax: (631) 269-0801
Approximate (ZIP-level) locationGet directions
Mailing address
63 Main St
Kings Park, NY 11754-2706
Registry dates
- Enumerated
- 2006-09-15
- Last updated
- 2011-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.