# ALEXANDRIA PODIATRY CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245962745
- **Authorized official:** KHALED AHMED DPM (PRESIDENT)
- **Authorized official phone:** (347) 324-2441

## Contact information

- **Practice address:** 1281 PADDINGTON RD, MAHWAH, NJ 07430-3257
- **Practice address phone:** (347) 324-2441
- **Practice address fax:** (718) 310-3313
- **Mailing address:** 252 CEDRUS AVE, EAST NORTHPORT, NY 11731-4515
- **Mailing address phone:** (347) 324-2441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 06/24/2022
- **Last updated:** 06/28/2022