1275625378 NPI number — DR. MANOJ SADHNANI INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275625378 NPI number — DR. MANOJ SADHNANI INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR. MANOJ SADHNANI INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275625378
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/22/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
20 GRACE LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OYSTER BAY
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11771-4020
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-341-5313
Provider Business Mailing Address Fax Number:
718-528-3534

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
235-20 147TH AVE
Provider Second Line Business Practice Location Address:
SUITE 7
Provider Business Practice Location Address City Name:
ROSEDALE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11422-3293
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-341-5313
Provider Business Practice Location Address Fax Number:
718-528-3534
Provider Enumeration Date:
09/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SADHNANI
Authorized Official First Name:
MANOJ
Authorized Official Middle Name:
Authorized Official Title or Position:
PODIATRIST
Authorized Official Telephone Number:
718-341-5313

Provider Taxonomy Codes

  • Taxonomy code: 213ES0103X , with the licence number:  005610 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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