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

Foot and Ankle Center of Fort Lee Podiatry

Organization Foot & Ankle Surgery Podiatrist · NPI 1639596547

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

Licensed in
NY
In the registry since
2014

Practice location Address checks out

6939 Yellowstone Blvd
Forest Hills, NY 11375-3795
Phone: (718) 575-3668
Fax: (718) 575-3665
Show map & directions

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 number1639596547
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gavriil Khaimov — President · (201) 363-9844
Other names Foot And Ankle Center Of Fort Lee, Llc; Foot And Ankle Center Of Fort Lee, Llc
NPI enumeratedMarch 28, 2014
Last updated in NPPESMay 15, 2020
Certification dateMay 15, 2020
Mailing address6939 Yellowstone Blvd, Forest Hills, NY 11375-3795

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