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

Georgia Theodora Xenophontos

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1396485264

Georgia Theodora Xenophontos is a Foot & Ankle Surgery Podiatrist in Manhasset, New York. Licensed in New York. Registered with an NPI since 2022.

Licensed in
NY
In the registry since
2022

Practice location Address checks out

1165 Northern Blvd Ste 301
Manhasset, NY 11030-3048
Phone: (516) 365-4545
Fax: (516) 365-7111
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 007466 (NY)

Record details

NPI number1396485264
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 30, 2022
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025

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