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EMILY KHODOSH
NPI 1114775160
Dentist - General Practice in Corona, NY

Active since May 06, 2024
10310 ROOSEVELT AVE, CORONA, NY 11368(718) 779-2626 Get Directions Write a Review

NPPES record last updated: April 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 26, 2026, May 6, 2024 (2 updates tracked since 2024).

About Emily Khodosh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMILY KHODOSH (NPI 1114775160) is an individual general practice provider in Corona, New York, licensed in New York (064830) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1114775160
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameEMILY KHODOSH
Location Address10310 ROOSEVELT AVECorona, NY 11368-2330
Mailing Address15 Carriage LnRoslyn Heights, NY 11577-2615 · (917) 414-9604
Phone(718) 779-2626
Sole ProprietorYes
Enumeration DateMay 6, 2024
Last NPPES UpdateApril 26, 20262 updates tracked since enumeration
NPPES CertifiedApril 26, 2026
✔ NPI 1114775160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 064830
Definition
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.
10310 ROOSEVELT AVE, Corona, NY 11368
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VK DENTAL CARE, PC
Dentist (General Practice)
10310 ROOSEVELT AVE, 2ND FLOOR
CORONA, NY 11368
Queens County (718) 779-2626
DR. NAZMA MIAH DDS
Dentist (General Practice)
10310 ROOSEVELT AVE, 2ND FLOOR
CORONA, NY 11368
Queens County (718) 779-2626

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emily Khodosh's NPI number?

The NPI number for Emily Khodosh is 1114775160. It was assigned to this individual provider in the NPPES registry on May 6, 2024.

Where is Emily Khodosh located?

Emily Khodosh practices at 10310 Roosevelt Ave, Corona, NY 11368. The listed phone number is (718) 779-2626.

What is Emily Khodosh's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Emily Khodosh was last updated on April 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.