COUNTRY FOOT CARE PODIATRY PLLC NPI 1184099442

NPI Information

  • NPI: 1184099442
  • Provider Name: COUNTRY FOOT CARE PODIATRY PLLC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 4 PHYLLIS DR
    PATCHOGUE, NY
    ZIP 11772
  • Phone: (631) 475-3030

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NPI Details

COUNTRY FOOT CARE PODIATRY PLLC is a foot and ankle surgery podiatrist in Patchogue, NY. COUNTRY FOOT CARE PODIATRY PLLC NPI is 1184099442. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4 PHYLLIS DR
PATCHOGUE, NY
ZIP 11772-900
Phone: (631) 475-3030

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 12/11/2015 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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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