Organization
COUNTRY FOOT CARE PODIATRY
Active
Organization
COUNTRY FOOT CARE PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN BROOK (OWNER)
(516) 741-3338
Entity
Organization
Contact information
Practice address
173 MINEOLA BLVD, SUITE 201, MINEOLA, NY 11501-2528
(516) 741-3338
(516) 506-7123
Mailing address
655-23 MONTAUK HIGHWAY, EAST PATCHOGUE, NY 11772-3154
(631) 475-3030
(631) 475-3036
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
Update your record
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