Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Foot and Ankle Center of Fort Lee Podiatry

Organization Foot & Ankle Surgery Podiatrist · NPI 1285051797

Foot and Ankle Center of Fort Lee Podiatry is a Foot & Ankle Surgery Podiatrist in Flushing, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
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Practice location Address checks out

14402 Jewel Ave Ste A
Flushing, NY 11367-1744
Phone: (718) 263-3668
Fax: (718) 263-0028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence N006045 (NY)

Record details

NPI number1285051797
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gavriil Khaimov — President · (201) 363-9844
Other names Foot And Ankle Center Of Fort Lee, Llc
NPI enumeratedMarch 21, 2014
Last updated in NPPESMarch 21, 2014
Mailing address14402 Jewel Ave, Suite A, Flushing, NY 11367-1744

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