Individual provider · Type 1 NPI

Michael Undazan Magsuci, NP

Adult Health Nurse Practitioner · Elmhurst, NY

NPI number 1306111489 Active

Practice location

7901 Broadway
Elmhurst, NY 11373-1329

Mailing address

6914 41st Ave, 306
Woodside, NY 11377-4028

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XF306020 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1306111489

Michael Undazan Magsuci, NP's National Provider Identifier is 1306111489, issued on Mar 21, 2012. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Elmhurst, NY. The record was last updated on Mar 21, 2012.