MSAN MEDICAL CARE PC NPI 1578065249

NPI Information

NPI: 1578065249
Provider Name: MSAN MEDICAL CARE PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address: 6861 FRESH POND RD
RIDGEWOOD, NY
ZIP 11385
Phone: (718) 576-3354

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NPI Details

MSAN MEDICAL CARE PC is a specialist in Ridgewood, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MSAN MEDICAL CARE PC NPI is 1578065249. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6861 FRESH POND RD
RIDGEWOOD, NY
ZIP 11385-263
Phone: (718) 576-3354
Fax: (715) 576-3505

The provider's authorized official is Myat San .
The authorized official title is President and has the following contact phone number (718) 576-3354.

The enumeration date for this NPI number is 3/8/2018 and was last updated on 6/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		231830	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1134284581	OTHER	NEW YORK	NATIONAL PROVIDER IDENTIFICATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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