| Larchmont Podiatry Pllc | |
|
2365 Boston Post Rd, Suite 200, Larchmont, NY 10538-3500 | |
| (914) 834-0111 | |
| (914) 834-0259 |
| Full Name | Larchmont Podiatry Pllc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Podiatric |
| Location | 2365 Boston Post Rd, Larchmont, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891241725 | NPI | - | NPPES |
| 07536583 | Medicaid | NY | |
| 1730719360 | Other | NY | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0000X | Podiatrist - Sports Medicine | 04132 (New York) | Secondary |
| 261QP1100X | Clinic/center - Podiatric | (* (Not Available)) | Primary |
| Provider Name | Mitchell Rubin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437149291 PECOS PAC ID: 7719169036 Enrollment ID: I20110308000781 |
| Provider Name | Adeen Shakil Khokhar |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215425020 PECOS PAC ID: 8820405442 Enrollment ID: I20210525001209 |
| Provider Name | Sang Hyub Kim |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649766809 PECOS PAC ID: 2769869882 Enrollment ID: I20220511001076 |
| Provider Name | Sarah Abdou |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1730719360 PECOS PAC ID: 3476924598 Enrollment ID: I20230126003111 |
| Mailing Address | Practice Location Address |
|---|---|
| Larchmont Podiatry Pllc 2365 Boston Post Rd, Suite 200, Larchmont, NY 10538-3500 Ph: (914) 834-0111 | Larchmont Podiatry Pllc 2365 Boston Post Rd, Suite 200, Larchmont, NY 10538-3500 Ph: (914) 834-0111 |