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Organization

LARCHMONT PODIATRY PLLC

Active
Other names
Certified Foot Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ADEEN KHOKHAR D.P.M. (OWNER)
(914) 834-0111
Entity
Organization

Contact information

Practice address
2365 BOSTON POST RD, SUITE 200, LARCHMONT, NY 10538-3500
(914) 834-0111
(914) 834-0259
Mailing address
2365 BOSTON POST RD, SUITE 200, LARCHMONT, NY 10538-3500
(914) 834-0111
(914) 834-0259

Taxonomy

Speciality
Code
Description
License number
State
213ES0000X
Sports Medicine Podiatrist
04132
NY
261QP1100X
Podiatric Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07536583
NY
01
1730719360
NPI
NY
Enumeration date
08/31/2016
Last updated
02/29/2024
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