Individual provider · Type 1 NPI

Georgia Theodora Xenophontos

Foot & Ankle Surgery Podiatrist · Manhasset, NY

NPI number 1396485264 Active

Practice location

1165 Northern Blvd Ste 301
Manhasset, NY 11030-3048

Call (516) 365-4545 Map

Fax (516) 365-7111

Mailing address

1165 Northern Blvd
Manhasset, NY 11030-3039

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X007466 (NY)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1396485264

Georgia Theodora Xenophontos's National Provider Identifier is 1396485264, issued on Mar 30, 2022. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Manhasset, NY. The record was last updated on Jun 30, 2025.