Msan Medical Care PC

NPI #1578065249 in Ridgewood, New York

Provider Information

NPI Number: 1578065249
Entity Type: Organization
Organization Name: Msan Medical Care PC
Primary Specialty: Specialist
Enumeration Date: Mar 8, 2018
Last Updated: Jun 16, 2018

Practice Location

Address: 6861 FRESH POND RD
City: Ridgewood
State: New York
ZIP Code: 11385-5263
Phone: (718) 576-3354

Authorized Official

Name: MYAT SAN, M.D.
Title: PRESIDENT
Phone: (718) 576-3354

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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