Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Sanavonxay, RNBSN

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1396558268

Michael Sanavonxay, RNBSN is a Psychiatric/Mental Health Registered Nurse in Syracuse, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

620 Madison St
Syracuse, NY 13210-2319
Phone: (315) 426-3600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 961451 (NY)

Record details

NPI number1396558268
Entity typeIndividual (Type 1)
GenderMale
Credentials RNBSN
Sole proprietorYes
NPI enumeratedJanuary 27, 2025
Last updated in NPPESJanuary 27, 2025
Certification dateJanuary 27, 2025

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