Elizabeth Wakhale

Primary specialty

SpecialistTaxonomy code 174400000X

License

767653971 Issued in NY

Practice address

253 Bellerose Ave
East Northport, NY 11731-1622

Phone

(516) 921-7171

NPI assigned

Aug 14, 2026

Last updated

Aug 14, 2026By the provider in NPPES

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": "1786665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1720993926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 BELLEROSE AVE",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117311622",
            "telephone_number": "516-921-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 BELLEROSE AVE",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117311622",
            "telephone_number": "516-921-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKHALE",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-14",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "767653971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricky R Vohora, DO
• Kathleen Vonstrandtmann, LMT
• Zinovia Maria Vouros-Klouvas
• Paula Wagman, LCSW
• John Raymond Wagner, M.D.
• Walgreen Co (Rite Aid)
• Walgreen Co (Walgreens #02630)
• Kimberly Michele Walker, DPT
• Jill Natalie Wallace, LCSW
• Samantha Kate Walsh, L.AC

• Specialist in East Northport, NY
• Providers in East Northport, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.