NPI 1003281486
Country Foot Care Podiatry PLLC
Practice location
- Address
- 479 Willis Ave, Williston Park, NY 11596-1725
- Phone
- (516) 294-8877
- Fax
- (516) 294-8878
- Mailing address
- 173 Mineola Blvd, Mineola, NY 11501-2528
Authorised official
- Name
- Steven Brook
- Title
- Owner
- Phone
- (516) 741-3338
Registered specialties
Foot & Ankle Surgery Podiatrist
Primary
Registry record
- NPI
- 1003281486
- Entity type
- Organization
- NPI issued
- 10 Dec 2015
- Record last updated
- 11 Dec 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.