Individual
MAGDALENA PUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
120 BEACH 26TH ST, FAR ROCKAWAY, NY 11691-2228
(516) 240-3555
Mailing address
120 BEACH 26TH ST APT 1506, FAR ROCKAWAY, NY 11691-2240
(516) 240-3555
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
56917201
NY
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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