Provider Demographics
NPI:1619161171
Name:ERENA TRESKOVA AND CO., LLC
Entity Type:Organization
Organization Name:ERENA TRESKOVA AND CO., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:ERENA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRESKOVA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-679-4295
Mailing Address - Street 1:22 GREAT HALL RD
Mailing Address - Street 2:
Mailing Address - City:MAHWAH
Mailing Address - State:NJ
Mailing Address - Zip Code:07430-2593
Mailing Address - Country:US
Mailing Address - Phone:201-679-4295
Mailing Address - Fax:201-444-4899
Practice Address - Street 1:682 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-2646
Practice Address - Country:US
Practice Address - Phone:845-341-0264
Practice Address - Fax:845-343-0962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-28
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY202101174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty