Ravitz, Marjorie

Ravitz, Marjorie is an individual health care provider with primary practice located at 260 Middle Country Road Ste 104, Smithtown NY 11787. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Ravitz, Marjorie can be contacted via phone (631) 724-1166.

Contact Information

Primary practice address
260 Middle Country Road Ste 104 Smithtown NY 11787
Phone: (631) 724-1166
Fax: (631) 724-4130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N4126 New York

Profile Details

NPI number 1255421442
LBN Legal business name Ravitz, Marjorie
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Sep 15th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255421442 NPPES
New York Other 4227812 AETNA
New York MEDICAID 01470451 AETNA
New York Other 0406805 AETNA
New York Other P3916310 AETNA
New York Other 2420175005 AETNA
New York Other 6C7212 AETNA
New York Other PM2951 AETNA
New York Other 1C0990 AETNA
New York Other 36835P AETNA
New York Other 10645 AETNA
New York Other CS989 AETNA

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