Organization
COUNTRY FOOT CARE PODIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN BROOK DPM (OWNER)
(516) 741-3338
Entity
Organization
Contact information
Practice address
4 PHYLLIS DR, PATCHOGUE, NY 11772-2900
(631) 475-3030
Mailing address
173 MINEOLA BLVD, SUITE 201, MINEOLA, NY 11501-2528
(516) 741-3338
(516) 506-7123
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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