Emily Khodosh

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

064830 Issued in NY

Practice address

10310 Roosevelt Ave
Corona, NY 11368-2330

Phone

(718) 779-2626

NPI assigned

May 6, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777161600000",
    "number": "1114775160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CARRIAGE LN",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772615",
            "telephone_number": "917-414-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10310 ROOSEVELT AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682330",
            "telephone_number": "718-779-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHODOSH",
        "first_name": "EMILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-06",
        "last_updated": "2026-04-26",
        "certification_date": "2026-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "064830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleksandr Khaitov
• Kamal Khan, M.D.
• Nazneen Nahar Khan, MD
• Usman Khan, PHARM.D.
• Ashmita Khatri
• Nellya Kikirova
• Ashley Kilian
• Kim Physical Therapy P. C.
• Dongeon Kim
• Han NA Kim, P.T.

• General Practice Dentistry in Corona, NY
• Providers in Corona, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.