Individual
GEORGIA THEODORA XENOPHONTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1165 NORTHERN BLVD STE 301, MANHASSET, NY 11030-3048
(516) 365-4545
(516) 365-7111
Mailing address
1165 NORTHERN BLVD, MANHASSET, NY 11030-3039
(515) 316-4545
(515) 365-7111
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
007466
NY
Other
Enumeration date
03/30/2022
Last updated
06/30/2025
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