# NORTHEASTERN FOOT & ANKLE SPECIALISTS, PC

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

## Provider details

- **NPI number:** 1265505077
- **Authorized official:** DR. ANAS KHOURY DPM (PRESIDENT)
- **Authorized official phone:** (973) 473-6665

## Contact information

- **Practice address:** 235 MAIN AVE, PASSAIC, NJ 07055-5501
- **Practice address phone:** (973) 473-6665
- **Practice address fax:** (973) 471-7308
- **Mailing address:** 235 MAIN AVE, PASSAIC, NJ 07055-5501
- **Mailing address phone:** (973) 473-6665
- **Mailing address fax:** (973) 471-7308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 25MD00272000 | NJ | Yes |

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 01/06/2015