# FOOT AND ANKLE CENTER OF FORT LEE PODIATRY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FOOT AND ANKLE CENTER OF FORT LEE, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639596547
- **Authorized official:** DR. GAVRIIL KHAIMOV DPM (PRESIDENT)
- **Authorized official phone:** (201) 363-9844

## Contact information

- **Practice address:** 6939 YELLOWSTONE BLVD, FOREST HILLS, NY 11375-3795
- **Practice address phone:** (718) 575-3668
- **Practice address fax:** (718) 575-3665
- **Mailing address:** 6939 YELLOWSTONE BLVD, FOREST HILLS, NY 11375-3795
- **Mailing address phone:** (718) 575-3668
- **Mailing address fax:** (718) 575-3665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | N006045 | NY | Yes |

## Other

- **Enumeration date:** 03/28/2014
- **Last updated:** 08/11/2026