Contact Us - Country Foot Care - Dr. Steven Brook, Dr. James Salazar, Dr. Edwin Roman - Hammertoes, Orthotics, Diabetic Shoes, Bunions, Foot surgery, Podiatry

To schedule an appointment, please call us at:

516-741-FEET

If you have any questions or comments, or if you want to learn more about the services we provide, please complete the form below.

Note: Do not use this form for an emergency!

Your Name

Street Address

Address 2 (Suite or PO Box)

City

State

Zip Code

Country

Phone

Ext. or Direct #

Fax

E-Mail Address

Are you currently a patient: Yes No

If not, how did you hear about our practice:

Use the space below for your questions & comments:

Please be aware that this is a non-secure communication.