Healthcare Provider Details

I. General information

NPI: 1609031210
Provider Name (Legal Business Name): MANJU V PILLAI MBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2008
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 FRANKLIN AVE STE UL4A
GARDEN CITY NY
11530-1760
US

IV. Provider business mailing address

700 HICKSVILLE RD STE 205
BETHPAGE NY
11714-3472
US

V. Phone/Fax

Practice location:
  • Phone: 516-663-8890
  • Fax: 516-663-9528
Mailing address:
  • Phone: 646-501-3229
  • Fax: 212-263-4539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number276364
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number276364
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number276364
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: