Provider Demographics
NPI:1275625378
Name:DR. MANOJ SADHNANI INC.
Entity Type:Organization
Organization Name:DR. MANOJ SADHNANI INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MANOJ
Authorized Official - Middle Name:
Authorized Official - Last Name:SADHNANI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:718-341-5313
Mailing Address - Street 1:20 GRACE LN
Mailing Address - Street 2:
Mailing Address - City:OYSTER BAY
Mailing Address - State:NY
Mailing Address - Zip Code:11771-4020
Mailing Address - Country:US
Mailing Address - Phone:718-341-5313
Mailing Address - Fax:718-528-3534
Practice Address - Street 1:235-20 147TH AVE
Practice Address - Street 2:SUITE 7
Practice Address - City:ROSEDALE
Practice Address - State:NY
Practice Address - Zip Code:11422-3293
Practice Address - Country:US
Practice Address - Phone:718-341-5313
Practice Address - Fax:718-528-3534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005610213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY07638GMedicare PIN
NYWEV431Medicare PIN