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Contact Information

MARJORIE RAVITZ, DPM
260 MIDDLE COUNTRY ROAD
STE 104
SMITHTOWN, NY11787
 Phone: 631-724-1166
 Fax: 631-724-4130
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MARJORIE RAVITZ · (Female)

NPI # 1255421442
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 10/16/2006
Last updated 09/15/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NY License # N4126
  • NY Medicaid 01470451
  • NY Other 4227812 AETNA
  • NY Other PM2951 BLUE CROSS
  • NY Other 2420175005 CIGNA
  • NY Other 0406805 GHI
  • NY Other 1C0990 HEALTHNET
  • NY Other 6C7212 HEALTHNET
  • NY Other 36835P HIP
  • NY Other CS989 OXFORD
  • NY Other P3916310 OXFORD
  • NY Other 10645 VYTRA
Hospital affiliation(s)
  • ST CATHERINE OF SIENA HOSPITAL - (Acute Care)
    50 ROUTE 25A
    SMITHTOWN, NY 11787
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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