NPI 1407951866

Country Foot Care PC

Organisation Podiatrist Williston Park, NY

Practice location

Address: 479 Willis Ave, Williston Park, NY 11596-1725
Phone: (516) 741-3338
Fax: (516) 741-4601
Mailing address: 155 Mineola Blvd Suite B, Mineola, NY 11501-3920

Authorised official

Name: Steven Douglas Brook
Title: Podiatrist
Phone: (516) 294-8877

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence N003218 (NY)

Other Podiatrist providers in New York →

Registry record

NPI: 1407951866
Entity type: Organization
NPI issued: 13 Sep 2006
Record last updated: 7 Apr 2008

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.