Individual provider · Type 1 NPI

Emily Khodosh

General Practice Dentistry · Corona, NY

NPI number 1114775160 Active

Practice location

10310 Roosevelt Ave
Corona, NY 11368-2330

Call (718) 779-2626 Map

Mailing address

15 Carriage Ln
Roslyn Heights, NY 11577-2615

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X064830 (NY)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1114775160

Emily Khodosh's National Provider Identifier is 1114775160, issued on May 6, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Corona, NY. The record was last updated on Apr 26, 2026.