Healthcare Provider Details

I. General information

NPI: 1437492162
Provider Name (Legal Business Name): NEHA KHANNA DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2013
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1575 HILLSIDE AVE STE 100
NEW HYDE PARK NY
11040-2501
US

IV. Provider business mailing address

11 TUXEDO AVE
NEW HYDE PARK NY
11040-3518
US

V. Phone/Fax

Practice location:
  • Phone: 212-767-9591
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number006792
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: