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Organization
VALLEY STREAM PROFESSIONAL MEDICAL SERVICES, LLC
Active
Organization
VALLEY STREAM PROFESSIONAL MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAB KATSNELSON MD (OWNER)
(847) 257-1244
Entity
Organization
Contact information
Practice address
260 W SUNRISE HWY, VALLEY STREAM, NY 11581-1011
(718) 310-1100
(224) 246-8042
Mailing address
4141 DUNDEE RD, NORTHBROOK, IL 60062-2129
(847) 257-1244
(224) 245-8042
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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