# COUNTRY FOOT CARE PODIATRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184099442
- **Authorized official:** STEVEN BROOK DPM (OWNER)
- **Authorized official phone:** (516) 741-3338

## Contact information

- **Practice address:** 4 PHYLLIS DR, PATCHOGUE, NY 11772-2900
- **Practice address phone:** (631) 475-3030
- **Mailing address:** 173 MINEOLA BLVD, SUITE 201, MINEOLA, NY 11501-2528
- **Mailing address phone:** (516) 741-3338
- **Mailing address fax:** (516) 506-7123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 12/11/2015
- **Last updated:** 12/11/2015