| NPI | 1386724516 |
|---|---|
| Doing Business As | NORTH SHORE PODIATRY GROUP |
| Entity Type | Organization |
| Authorized Contact | MARJORIE RAVITZ Partner 631-724-1166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2008-02-21 |