Suffolk County Foot Care Pllc

LBN: Suffolk County Foot Care Pllc
Suffolk County Foot Care Pllc is an health care organization with primary practice located at 63 Main St , Kings Park NY 11754-2706. The organization recently has only one registered license in Ambulatory Health Care Facilities / Podiatric, which is considered as the primary health care specialty. Suffolk County Foot Care Pllc can be contacted via phone (631) 269-4600, or through Ravitz, Stephen B via phone (631) 269-4600.

Contact Information

Primary practice address
63 Main St Kings Park NY 11754-2706
Phone: (631) 269-4600
Fax: (631) 269-0801
Website:
Map and Directions
Authorized official contact:
Name: Ravitz, Stephen B Doctor of Podiatric Medicine (DPM)
Phone: (631) 269-4600

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Podiatric 261QP1100X

Profile Details

NPI number 1114023660
LBN Legal business name Suffolk County Foot Care Pllc
DBA Doing business as
Authorized official Ravitz, Stephen B Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2006
Last updated Apr 29th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114023660 NPPES
Other 02216448 CAID
Other P55031 CAID
Other 01271269 CAID
Other 2154835 CAID
Other 130904 CAID
Other CS267 CAID
Other 9653126 CAID
Other P2654015 CAID
MEDICAID 01271269 CAID
Other 19966 CAID
Other 6299184 CAID

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