Organization
COUNTRY FOOT CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN DOUGLAS BROOK DPM (PODIATRIST)
(516) 294-8877
Entity
Organization
Contact information
Practice address
479 WILLIS AVE, WILLISTON PARK, NY 11596-1725
(516) 741-3338
(516) 741-4601
Mailing address
155 MINEOLA BLVD, SUITE B, MINEOLA, NY 11501-3920
(516) 741-3338
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003218
NY
Other
Enumeration date
09/13/2006
Last updated
04/07/2008
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