Brook, Steven Douglas
Brook, Steven Douglas is an sole proprietor health care provider with primary practice located at 155 Mineola Blvd Suite B, Mineola NY 11501-3920. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Brook, Steven Douglas can be contacted via phone (516) 741-3338.Contact Information
Primary practice address
155 Mineola Blvd Suite B
Mineola NY 11501-3920
Phone: (516) 741-3338
Fax: (516) 741-4601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | N003218 | New York |
Profile Details
| NPI number | 1871588228 |
|---|---|
| LBN Legal business name | Brook, Steven Douglas |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Sep 4th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871588228 | NPPES |
| New York | Other | A400091229 | MEDICARE PTAN |
| New York | MEDICAID | 00815746 | MEDICARE PTAN |
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