Provider Demographics
NPI:1841463338
Name:MANOJ TREHAN MEDICAL PC
Entity type:Organization
Organization Name:MANOJ TREHAN MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MANOJ
Authorized Official - Middle Name:
Authorized Official - Last Name:TREHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-308-3238
Mailing Address - Street 1:9 BRIDLE PATH CT
Mailing Address - Street 2:
Mailing Address - City:GLEN HEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11545-3304
Mailing Address - Country:US
Mailing Address - Phone:516-308-3238
Mailing Address - Fax:516-342-5716
Practice Address - Street 1:9 BRIDLE PATH CT
Practice Address - Street 2:
Practice Address - City:GLEN HEAD
Practice Address - State:NY
Practice Address - Zip Code:11545-3304
Practice Address - Country:US
Practice Address - Phone:516-308-3238
Practice Address - Fax:516-342-5716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-07
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY236699-1207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty