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Contacting the Office

To schedule an appointment please call our office.  For general information please complete the form below and it will be directed to the appropriate individual within our office.  We gladly welcome any comments or questions you might have.

Please Note - E-Mail is not an emergency means of contacting our Office. 

4 Phyllis Drive
Patchogue, NY 11772

Tel: (631) 475-3030
Fax: (631) 475-3036 

E-Mail - info@lifootdoc.com

  

Contact Form


Your Name:
Street Address:
Address 2   (Suite, Apartment or PO Box):
City:
State:         Zip Code:
       
Home Telephone:
Work Telephone:
E-Mail Address:
 

Are you currently a patient: Yes No

If not, how did you hear of our practice:

Which procedure are you interested in or are being currently treated for:

Nature of Comment: 

Use the space below for your comments:

        


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Copyright © 2000 Steven B. Axt, D.P.M., F.A.C.F.A.O.M., P.C. and MedNet Technologies, Inc. All Rights Reserved.
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