Healthcare Provider Details

I. General information

NPI: 1801864293
Provider Name (Legal Business Name): MAGDI YOUNAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2006
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

529 CENTRAL AVE
DUNKIRK NY
14048-2514
US

IV. Provider business mailing address

15770 CEDAR GROVE LN
WELLINGTON FL
33414-6311
US

V. Phone/Fax

Practice location:
  • Phone: 716-366-1111
  • Fax:
Mailing address:
  • Phone: 317-626-9169
  • Fax: 561-838-4397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number0101056805
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number200609
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME94004
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: