# VALLEY STREAM PROFESSIONAL MEDICAL SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356739668
- **Authorized official:** YAB KATSNELSON MD (OWNER)
- **Authorized official phone:** (847) 257-1244

## Contact information

- **Practice address:** 260 W SUNRISE HWY, VALLEY STREAM, NY 11581-1011
- **Practice address phone:** (718) 310-1100
- **Practice address fax:** (224) 246-8042
- **Mailing address:** 4141 DUNDEE RD, NORTHBROOK, IL 60062-2129
- **Mailing address phone:** (847) 257-1244
- **Mailing address fax:** (224) 245-8042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/08/2015
- **Last updated:** 01/08/2015