Provider Demographics
NPI:1043374614
Name:MSAR GROUP INC
Entity Type:Organization
Organization Name:MSAR GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:J
Authorized Official - Last Name:SARRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-218-7352
Mailing Address - Street 1:260 AINSLIE STREET
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-4914
Mailing Address - Country:US
Mailing Address - Phone:718-388-1600
Mailing Address - Fax:718-388-1551
Practice Address - Street 1:308 GRAHAM AVENUE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-4904
Practice Address - Country:US
Practice Address - Phone:718-218-7352
Practice Address - Fax:718-302-1566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01986149Medicaid
NYW2L731Medicare PIN