Healthcare Provider Details

I. General information

NPI: 1225285729
Provider Name (Legal Business Name): NEHA KHANNA DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2008
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 DAKOTA DR STE 310
NEW HYDE PARK NY
11042-1136
US

IV. Provider business mailing address

2800 MARCUS AVE
NEW HYDE PARK NY
11042
US

V. Phone/Fax

Practice location:
  • Phone: 516-390-2415
  • Fax: 516-482-7192
Mailing address:
  • Phone: 516-622-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberH0067463
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number264088
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: