COUNTRY FOOT CARE PODIATRY PLLC NPI 1003281486

NPI Information

COUNTRY FOOT CARE PODIATRY PLLC is a foot and ankle surgery podiatrist in Williston Park, NY. COUNTRY FOOT CARE PODIATRY PLLC NPI is 1003281486. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

479 WILLIS AVE
WILLISTON PARK, NY
ZIP 11596-725
Phone: (516) 294-8877
Fax: (516) 294-8878

The provider's authorized official is Steven Brook .
The authorized official title is Owner and has the following contact phone number (516) 741-3338.

The enumeration date for this NPI number is 12/10/2015 and was last updated on 12/11/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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